NPIMap

Organization Active NPI

Dental Health Associates of Texas, PC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1730358441
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12519 Issued in TX
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Practice address
7614 Culebra Rd Ste 103
San Antonio, TX 78251-1477
Phone
(210) 523-0000
Fax
(210) 523-9967
NPI assigned
Feb 27, 2008
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Cassandra Petersen
Title
Credentialing Team Lead
Phone
(217) 540-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 12519 TX Primary

Addresses

Primary practice location

7614 Culebra Rd Ste 103
San Antonio, TX 78251-1477

Mailing address

7614 Culebra Rd Ste 103
San Antonio, TX 78251-1477
Phone (210) 523-0000

Other names 1

  • W Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of TX PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of TX PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

7614 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 523-0000

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1730358441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 CULEBRA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511477",
            "telephone_number": "210-523-0000",
            "fax_number": "210-523-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 CULEBRA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511477",
            "telephone_number": "210-523-0000",
            "fax_number": "210-523-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "enumeration_date": "2008-02-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "217-540-8972"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W Dental Group",
            "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 Sep 27, 2018; 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.