SV Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SV DENTAL

Practice address

111 N Ash St
Pearsall, TX 78061-3201

Phone

(830) 334-3333

Fax

(830) 334-3337

NPI assigned

Jul 10, 2020

Organization subpart

No

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

Authorized official

Name

Tapan Tirumala Teja Vallabhaneni, DMD

Title

Owner

Phone

(830) 334-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearsall Family Dental Doing business as

Electronic endpoints 1

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

• Gustavo Adolfo Ortegon, DDS

  • Dentist
  • Pearsall, TX
  • NPI 1225731441
  NPD
• Tapan Tirumala Teja Vallabhaneni, DMD

  • Dentist
  • Pearsall, TX
  • NPI 1962922351

  General Practice

  NPD
• James William Grander, DDS

  • Dentist
  • Pearsall, TX
  • NPI 1538256110
  NPD (past)

Locations

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1750909263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ASH ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613201",
            "telephone_number": "830-334-3333",
            "fax_number": "830-334-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ASH ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613201",
            "telephone_number": "830-334-3333",
            "fax_number": "830-334-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "VALLABHANENI",
        "authorized_official_first_name": "TAPAN TIRUMALA",
        "authorized_official_middle_name": "TEJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-334-3333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962922351",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pearsalllfamilydental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 N Ash St",
            "city": "Pearsall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780613201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pearsall Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Araceli Torres, PHARMD, RPH
• Veronica Torres
• Leah Natasha Treff, M.S., LPC
• Valentine Chukwuma Ugwu, MD

• All providers in Pearsall, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.