NPIMap

Organization Active NPI

University of Texas Health Science Center at San Antonio

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1760424873
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Practice address
8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone
(210) 567-6405
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Peter Loomer, D.D.S
Title
Dental School Dean
Phone
(210) 567-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8210 Floyd Curl Dr
San Antonio, TX 78229-3923

Mailing address

PO Box 40397
San Antonio, TX 78229-1397
Phone (210) 567-6405

Other identifiers 3

IdentifierTypeStateIssuer
121876004OtherTXCIDC/ MEDICAL
120969403MedicaidTX
084157901MedicaidTX

Other names 1

  • UTHSCSA Dental School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000664 TX Part B Supplier - Clinic/Group Practice 0042128548 Receives reassigned benefits from 2,474 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7703 Floyd Curl Dr
Rm 4
San Antonio, TX 78229
Phone (210) 567-3053

7703 Floyd Curl Dr
Ste MC7977
San Antonio, TX 78229

10350 Bandera Rd
Ste 140
San Antonio, TX 78250
Phone (210) 450-6530

5788 Eckhert Rd
San Antonio, TX 78240
Phone (210) 450-6450

4306 De Zavala Rd
Bldg 1
San Antonio, TX 78249
Phone (210) 450-6720

5109 Medical Dr
San Antonio, TX 78229
Phone (210) 450-7090

14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220

Practitioners & affiliated clinicians

Practitioners 426

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

View all 426

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1760424873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40397",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291397",
            "telephone_number": "210-567-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293923",
            "telephone_number": "210-567-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "LOOMER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DENTAL SCHOOL DEAN",
        "authorized_official_telephone_number": "210-567-6405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC/ MEDICAL",
            "identifier": "121876004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120969403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084157901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTHSCSA Dental School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.