SD-933Schertz PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19887 Issued in TX

Legal business name

SD-933SCHERTZ PC

Practice address

933 FM 3009
Schertz, TX 78154-1000

Phone

(210) 659-2200

Fax

(210) 566-1136

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Lynhthy Thy Pham, DDS

Title

President

Phone

(214) 466-1400

Specialties & licenses 1

Addresses

Other names 1

• SMILEY DENTAL Doing business as

Practitioners 1

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

• Charles Barnett Peters III, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Schertz, TX
  • NPI 1609088145
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1801347125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182613",
            "telephone_number": "214-466-1400",
            "fax_number": "214-367-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FM 3009",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541000",
            "telephone_number": "210-659-2200",
            "fax_number": "210-566-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD-933SCHERTZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNHTHY",
        "authorized_official_middle_name": "THY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-466-1400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schertz Surgery Center LLC
• Schertz-Cibolo Emergency Physicians, PLLC
• Synthia Schmidt
• Nancy Schuerman Croteau
• Hannah Mae Scott, CNIM
• Jessica Segovia
• Kelsey Amber Seigrist, BCBA
• Sense of Purpose Mental Health and Wellness, PLLC
• Serenity Family Services, PLLC
• Salome Serna

• General Practice Dentistry in Schertz, TX
• Providers in Schertz, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.