Active NPI
Diana Steelman Pina, DDS
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1760620173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 23970
- Practice address
- 8606 Village Dr Ste B
San Antonio, TX 78217-5506 - Phone
- (210) 654-6882
- Fax
- (210) 654-0036
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 23970 | TX | Primary |
Addresses
Primary practice location
8606 Village Dr Ste B
San Antonio, TX 78217-5506
Mailing address
8606 Village Dr Ste B
San Antonio, TX 78217-5506
Phone (210) 654-6882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280983201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23970 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Children'S Dentistry, Inc | Pediatric Dentistry | Past | Accepting new patients |
| Northeast Children'S Dentistry, Inc | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1245252238
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1689220451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1760620173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8606 VILLAGE DR STE B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175506",
"telephone_number": "210-654-6882",
"fax_number": "210-654-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8606 VILLAGE DR STE B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175506",
"telephone_number": "210-654-6882",
"fax_number": "210-654-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "DIANA",
"middle_name": "STEELMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "23970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280983201",
"state": "TX"
}
],
"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 Nov 14, 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.