Seville Park Endodontics PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17400 Issued in TX

Legal business name

SEVILLE PARK ENDODONTICS PLLC

Practice address

8211 Fredericksburg Rd
San Antonio, TX 78229

Phone

(210) 617-5536

Fax

(210) 614-4266

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy A Ingram, DMD MSNPI 1861596926

Title

Endodontist

Phone

(210) 617-8536

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Timothy Adolphus Ingram III, DDS MS

  • Endodontics
  • San Antonio, TX
  • NPI 1861596926
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740376540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-617-5536",
            "fax_number": "210-614-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-617-5536",
            "fax_number": "210-614-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVILLE PARK ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "210-617-8536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "17400",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "18608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seven Oaks Women'S Center PLLC
• William B Sevening, ATC,LAT
• Daniel Lewis Merrill Severson, RRT, RCP
• Abigail Sevigny
• Francis Sevilla
• Asif A. Sewani, MD
• Laura Seward
• Jeffrey T. Sewell, MD
• Megan Ruth Sewell, PA-C
• Laura Elena Sexto Cintas

• Endodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Endodontics 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.