Active NPI
Harlandale Kids Dental
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1699348839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HARLANDALE KIDS DENTAL
- Doing business as
- Harlandale Kids Dental
- Practice address
- 238 SW Military Dr Ste 104
San Antonio, TX 78221-1657 - Phone
- (210) 853-5600
- Fax
- (833) 790-3376
- NPI assigned
- Jul 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Cheswick
- Title
- Office Manager
- Phone
- (210) 468-3360
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
238 SW Military Dr Ste 104
San Antonio, TX 78221-1657
Mailing address
238 SW Military Dr Ste 104
San Antonio, TX 78221-1657
Phone (210) 853-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308010302 | Medicaid | TX | |
| 3468602 | Medicaid | TX |
Other names 1
- Harlandale Kids Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1699348839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 SW MILITARY DR STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211657",
"telephone_number": "210-853-5600",
"fax_number": "833-790-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 SW MILITARY DR STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211657",
"telephone_number": "210-853-5600",
"fax_number": "833-790-3376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLANDALE KIDS DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-23",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "CHESWICK",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-468-3360"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308010302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3468602",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harlandale Kids Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harlandale Kids Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.