Active NPI
Samuel R Saltzman
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1679654461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21582
- Practice address
- 803 Castroville Rd
Suite 412
San Antonio, TX 78237-3153 - Phone
- (210) 435-6090
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21582 | TX | Primary |
Addresses
Primary practice location
803 Castroville Rd
Suite 412
San Antonio, TX 78237-3153
Mailing address
14706 Kinsem
San Antonio, TX 78248-0954
Phone (210) 435-7653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21582 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braun 7To7 PLLC | Current | Accepting new patients | |
| Bexar Dental Center | General Practice | Past | Accepting new patients |
Locations
10103 W Loop 1604 N
Ste 104
San Antonio, TX 78254
Phone (210) 493-4444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1417622432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679654461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14706 KINSEM",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782480954",
"telephone_number": "210-435-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 CASTROVILLE RD",
"address_2": "SUITE 412",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373153",
"telephone_number": "210-435-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTZMAN",
"first_name": "SAMUEL",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Salsa Sleep Apnea Labs of San Antonio Inc
- Salsa-Sleep Apnea Labs of San Antonio,Inc
- Yvonna M Saltarska, PHARM.D.
- Cynthia Salter, M.A. CCC-SLP
- Diana Gorena Saltzman, M.ED., LMFT, LMHC
- Daniel R Saltzstein, MD
- Salubrio, LLC
- Salud Familiar, PLLC
- Salus Education LLC
- Salus Operations, LLC (First Day Homecare #032)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.