Joe William Hernandez Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

25660 Issued in TX

Practice address

1347 Fair Ave
San Antonio, TX 78223-1437

Phone

(210) 533-8191

Fax

(210) 533-5928

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2023 through Mar 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.W Hernandez Jr. DDS PC

  • Dentist
  • San Antonio, TX
  • NPI 1043873060
  NPD

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1699086090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 FAIR AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231437",
            "telephone_number": "210-533-8191",
            "fax_number": "210-533-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231437",
            "telephone_number": "210-533-8191",
            "fax_number": "210-533-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Charisse Hernandez
• Jessica Lauren Hernandez, RD,LD
• Jessica Marie Hernandez, OD
• Jesus R. Hernandez, OT
• Joe William Hernandez, DDS
• Jorge A Hernandez, MD
• Jose Eugenio Hernandez Jr.
• Jose Frederick Hernandez, LMSW
• Jose Manuel Hernandez, M.D.
• Jose Manuel Hernandez Jr., M.D.

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.