Blue Skies of Texas Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLUE SKIES OF TEXAS DENTAL, PLLC

Practice address

5100 John D Ryan Blvd
San Antonio, TX 78245-3527

Phone

(210) 674-3122

NPI assigned

Oct 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julian Edward Martinez, DDS

Title

Owner/ General Dentist

Phone

(832) 322-2310

Specialties & licenses 1

Addresses

Other names 1

• 1. Blue Skies West Dental and 2. Blues Skies East Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1679040604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 JOHN D RYAN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453527",
            "telephone_number": "210-674-3122",
            "fax_number": "210-892-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 JOHN D RYAN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453527",
            "telephone_number": "210-674-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES OF TEXAS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "832-322-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1. Blue Skies West Dental and 2. Blues Skies East Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1. Blue Skies West Dental and 2. Blues Skies East Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.