One Destination Clinic San Antonio, LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

ONE DESTINATION CLINIC SAN ANTONIO, LLC

Practice address

3402 S Gevers St
San Antonio, TX 78210-5414

Phone

(210) 533-6611

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Joseph Miller

Title

Doctor

Phone

(858) 842-7011

Specialties & licenses 1

Addresses

Other names 1

• ODC San Antonio Doing business as

Locations

Practitioners 1

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

• Sandra Furtner Burgman, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1205914140
  NPD (past)

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1710877006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 S GEVERS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782105414",
            "telephone_number": "210-533-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 S GEVERS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782105414",
            "telephone_number": "210-533-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DESTINATION CLINIC SAN ANTONIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "858-842-7011"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ODC San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.