Geronimo Canyon Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GERONIMO CANYON DENTISTRY, PC

Doing business as

Geronimo Canyon Dentistry

Practice address

15489 Culebra Rd Ste 201
San Antonio, TX 78253-4602

Phone

(210) 512-1690

Fax

(210) 501-1686

NPI assigned

Apr 30, 2026

Organization subpart

No

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

Authorized official

Name

Roberto A Benavides, DDS

Title

Owner

Phone

(210) 512-1690

Specialties & licenses 1

Addresses

Other names 1

• Geronimo Canyon Dentistry Doing business as

Locations

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1740127638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15489 CULEBRA RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534602",
            "telephone_number": "210-512-1690",
            "fax_number": "210-501-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERONIMO CANYON DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-512-1690",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geronimo Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erma German-Burgess
• William Andreas Germer, PHD
• Kelsey Gernandt, RBT
• Joanna Elizabeth Gernsback, MD
• Petrina Gerogianni, DDS
• Alyssa Gerosa
• Rebekah Gerould, NNP
• Brandan Gerry
• Susan Linda Gershenhorn, PH.D.
• Maria Gershman, LVN

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.