La Tooth Doc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LA TOOTH DOC

Practice address

12951 Huebner Rd Unit 780982
San Antonio, TX 78278-7837

Phone

(859) 492-7565

NPI assigned

Dec 4, 2025

Organization subpart

No

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

Authorized official

Name

Tracy Walters-Badillo, DMD

Title

Owner, DMD

Phone

(859) 492-7565

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracy Dawn Walters, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1447359104
  NPD

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1699638874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 HUEBNER RD UNIT 780982",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782787837",
            "telephone_number": "859-492-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 HUEBNER RD UNIT 780982",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782787837",
            "telephone_number": "859-492-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA TOOTH DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "WALTERS-BADILLO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER, DMD",
        "authorized_official_telephone_number": "859-492-7565",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian L La Kemper, DDS
• La Luz Counseling, LLC
• La Paz Community Health Center
• La Paz Community Healthcare Center, Inc
• Amy R La Rue, PT
• Cynthia Laabs-Ortegon, LPC
• Lab-a-Finity LLC
• Labadvantage San Antonio LTD
• Jacob Labahn, MD
• Jina Mari Labanca, LPC

• 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 Dec 4, 2025; 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.