Active NPI
Retina and Uveitis Consultants of Texas PA
- Specialist
- San Antonio, TX
National Provider Identifier
1699824680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K4232
- Legal business name
- RETINA AND UVEITIS CONSULTANTS OF TEXAS PA
- Practice address
- 9623 Huebner Rd.
Suite 100
San Antonio, TX 78240 - Phone
- (210) 615-6565
- Fax
- (210) 615-6568
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 29, 2015
- 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
- Dr. David Kenneth Scales, M.D.
- Title
- Owner
- Phone
- (210) 615-6565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K4232 | TX | Primary |
Addresses
Primary practice location
9623 Huebner Rd.
Suite 100
San Antonio, TX 78240
Mailing address
9623 Huebner Rd
100
San Antonio, TX 78240
Phone (210) 615-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080819801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9623 Huebner Rd
Ste 100
San Antonio, TX 78240
Phone (210) 615-6565
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- San Antonio, TX
- NPI 1164412029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1699824680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9623 HUEBNER RD",
"address_2": "100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-615-6565",
"fax_number": "210-615-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9623 HUEBNER RD.",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-615-6565",
"fax_number": "210-615-6568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA AND UVEITIS CONSULTANTS OF TEXAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "SCALES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-615-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "K4232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080819801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.