South Texas Periodontel Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

295522 Issued in TX

Legal business name

SOUTH TEXAS PERIODONTEL ASSOCIATES

Practice address

15321 San Pedro
Suite 103
San Antonio, TX 78232-3700

Phone

(210) 654-7878

Fax

(210) 402-0410

NPI assigned

Oct 7, 2009

Last updated

Nov 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Christman, DDS

Title

Owner

Phone

(210) 654-7878

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, and the practitioner matching its NPPES authorized official.

• Brian Beck, DDS

  • Periodontics
  • San Antonio, TX
  • NPI 1962475095
  NPD (past)
• Mylinh Duong, DDS, MS

  • Periodontics
  • San Antonio, TX
  • NPI 1275070328
  NPD (past)
• Fraser Heard Graham, DDS

  • Periodontics
  • San Antonio, TX
  • NPI 1952508137
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1740515873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 SAN PEDRO",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323700",
            "telephone_number": "210-654-7878",
            "fax_number": "210-402-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 SAN PEDRO",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323700",
            "telephone_number": "210-654-7878",
            "fax_number": "210-402-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PERIODONTEL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-654-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "295522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Pain and Recovery Center, LLC (Medi-Pro Orthopaedic & Spine Center)
• South Texas Pain Specialists, PA
• South Texas Pathology Associates LLP
• South Texas Perinatal Cardiology
• South Texas Periodontal Associates
• South Texas PM & R Group, Inc.
• South Texas Prosthetics Inc
• South Texas Psychotherapy
• South Texas Radiology Group PA
• South Texas Radiology Imaging Centers

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.