Culebra North Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12051 Issued in TX

Legal business name

CULEBRA NORTH DENTAL CARE

Practice address

7915 Culebra Rd
San Antonio, TX 78251-1443

Phone

(210) 680-1550

Fax

(210) 680-0004

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl D Quillian

Title

Office Manager

Phone

(210) 680-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Mitchell Ryan Gresham, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1578262275
  NPD (past)
• Jonathan E Quillian, DDS, FAGD

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1639225782
  NPD (past)
• Shelley N. Sproull, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1790831881
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740336817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511443",
            "telephone_number": "210-680-1550",
            "fax_number": "210-680-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511443",
            "telephone_number": "210-680-1550",
            "fax_number": "210-680-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULEBRA NORTH DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUILLIAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-680-1550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Culebra Chiropractic Clinic
• Culebra Ers Acquisition Partners LLC
• Culebra Family Dentistry PLLC
• Culebra Injury & Pain Clinic, LLC
• Culebra Meadows Dental Partners PLLC
• Culebra Pediatric Dentistry, PLLC
• Culebra RX Pharmacy
• Culebra Smiles and Orthodontics, PC
• Jonathan Michael Cullen, M.D.
• Cullens Medical Services Clinic

• 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 Aug 22, 2020; 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.