Organization Active NPI

Kris Dental PC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1750690053
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0022113 Issued in TX
Legal business name
KRIS DENTAL PC
Practice address
1432 Austin Hwy
San Antonio, TX 78209-4902
Phone
(210) 822-5747
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Sanjeev Gopalakrishnan, D.D.S
Title
President
Phone
(210) 822-5747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0022113 TX Primary

Addresses

Primary practice location

1432 Austin Hwy
San Antonio, TX 78209-4902

Mailing address

1921 Norfolk St
Houston, TX 77098-4223

National Provider Directory

National Provider Directory
Tax ID family
Kris Dental PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1432 Austin Hwy
San Antonio, TX 78209
Phone (210) 822-5747

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1750690053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 NORFOLK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094902",
            "telephone_number": "210-822-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-822-5747",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0022113",
            "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 May 19, 2011; 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.