Organization Active NPI

Nautical Dental

  • Dentist
  • San Antonio, TX
National Provider Identifier
1780038679
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NAUTICAL DENTAL
Practice address
16414 San Pedro Ave
Ste 200
San Antonio, TX 78232-2277
Phone
(210) 499-0009
Fax
(210) 499-0002
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dolores Fales, R.D.H.
Title
Office Manager
Phone
(210) 499-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

16414 San Pedro Ave
Ste 200
San Antonio, TX 78232-2277

Mailing address

16414 San Pedro Ave
Ste 200
San Antonio, TX 78232-2277
Phone (210) 499-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1780038679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 SAN PEDRO AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322277",
            "telephone_number": "210-499-0009",
            "fax_number": "210-499-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 SAN PEDRO AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322277",
            "telephone_number": "210-499-0009",
            "fax_number": "210-499-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTICAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "FALES",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-499-0009",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Apr 18, 2016; 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.