Active NPI
TX-Desai Dental San Antonio Legacy PLLC
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1740614965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29090
- Legal business name
- TX-DESAI DENTAL SAN ANTONIO LEGACY PLLC
- Practice address
- 1803 N Loop 1604 E
San Antonio, TX 78232-1651 - Phone
- (315) 454-6000
- NPI assigned
- Aug 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jagruti Desai
- Title
- Owner
- Phone
- (315) 454-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29090 | Primary |
Addresses
Primary practice location
1803 N Loop 1604 E
San Antonio, TX 78232-1651
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000
National Provider Directory
National Provider DirectoryLocations
1803 N Loop 1604 E
San Antonio, TX 78232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377216000000",
"number": "1740614965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "315-454-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 N LOOP 1604 E",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321651",
"telephone_number": "315-454-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TX-DESAI DENTAL SAN ANTONIO LEGACY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "JAGRUTI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-454-6000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": "29090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 23, 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.