Organization Active NPI

Bruce Vetters D.D.S. Inc

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1700556099
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRUCE VETTERS D.D.S. INC
Practice address
6619 S Flores St
San Antonio, TX 78214-2629
Phone
(210) 924-1066
Fax
(210) 924-1093
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Dr. Bruce L Vetters, DDSNPI 1881805653
Title
Owner/ Dentist
Phone
(210) 924-1066

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6619 S Flores St
San Antonio, TX 78214-2629

Mailing address

6619 S Flores St
San Antonio, TX 78214-2629
Phone (210) 924-1066

National Provider Directory

National Provider Directory

Locations

6619 S Flores St
San Antonio, TX 78214
Phone (210) 924-1066

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1700556099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142629",
            "telephone_number": "210-924-1066",
            "fax_number": "210-924-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142629",
            "telephone_number": "210-924-1066",
            "fax_number": "210-924-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE VETTERS D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "VETTERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "210-924-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 17, 2021; 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.