Marbach Dental and Braces PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARBACH DENTAL AND BRACES PLLC

Practice address

9107 Marbach Rd Ste 103
San Antonio, TX 78245-1832

Phone

(210) 674-4799

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dave Goldwyn Jequinto

Title

Revenue Cycle Manger

Phone

(210) 674-4799

Specialties & licenses 1

Addresses

Other names 1

• Marbach Dental and Braces Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Robert Bullard, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1518985522

  General Practice

  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1679249452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 MARBACH RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451832",
            "telephone_number": "210-674-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 MARBACH RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451832",
            "telephone_number": "210-674-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBACH DENTAL AND BRACES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "JEQUINTO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "GOLDWYN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANGER",
        "authorized_official_telephone_number": "210-674-4799",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marbach Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marbach Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Cecelia Maraney, FNP
• Iman Marashi, DDS
• Thilina Praneethbogategedara Marasinghe, MD
• Karen Maravi
• Ariana Maravilla
• Marbach Family Dental
• Marbach Family Dentistry, PLLC
• Marbach RVS PLLC
• Marbach Smiles PLLC
• Cynthia Nicole Marbach, DO

• All providers in San Antonio, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.