Organization Active NPI

Don Test III, D.D.S., Inc.

Doing business as DRS. Portales & Test

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
National Provider Identifier
1760648869
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10174 Issued in TX
Legal business name
DON TEST III, D.D.S., INC.
Doing business as
DRS. Portales & Test
Practice address
2803 Mossrock
Ste. 102
San Antonio, TX 78230-5121
Phone
(210) 349-3161
Fax
(210) 349-3825
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Don Test, D.D.S.
Title
Doctor
Phone
(210) 349-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10174 TX Primary

Addresses

Primary practice location

2803 Mossrock
Ste. 102
San Antonio, TX 78230-5121

Mailing address

2803 Mossrock
Ste. 102
San Antonio, TX 78230-5121
Phone (210) 349-3161

Other identifiers 2

IdentifierTypeStateIssuer
090197702MedicaidTX
090213202MedicaidTX

Other names 1

  • DRS. PORTALES & TEST Doing business as

National Provider Directory

National Provider Directory

Locations

2803 Mossrock
Ste 102
San Antonio, TX 78230
Phone (210) 349-3161

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1760648869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MOSSROCK",
            "address_2": "STE. 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305121",
            "telephone_number": "210-349-3161",
            "fax_number": "210-349-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MOSSROCK",
            "address_2": "STE. 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305121",
            "telephone_number": "210-349-3161",
            "fax_number": "210-349-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON TEST III, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "TEST",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-349-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "10174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090197702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090213202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS. PORTALES & TEST",
            "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 Jul 29, 2008; 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.