Active NPI
Northwoods Dental Spa
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1811077407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NORTHWOODS DENTAL SPA
- Practice address
- 18160 Hwy 281 North
Suite 104
San Antonio, TX 78232 - Phone
- (210) 495-7800
- Fax
- (210) 495-7805
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene Kiansky Blaess, DDS
- Title
- Owner Dentists
- Phone
- (210) 495-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
18160 Hwy 281 North
Suite 104
San Antonio, TX 78232
Mailing address
18160 Hwy 281 N
Ste 104
San Antonio, TX 78232
Phone (210) 495-7800
National Provider Directory
National Provider DirectoryLocations
18160 San Pedro Ave
Ste 104
San Antonio, TX 78232
Phone (210) 495-7800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1285856906
-
- Dentist
- San Antonio, TX
- NPI 1033255724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811077407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18160 HWY 281 N",
"address_2": "STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-495-7800",
"fax_number": "210-495-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18160 HWY 281 NORTH",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-495-7800",
"fax_number": "210-495-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWOODS DENTAL SPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLAESS",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "KIANSKY",
"authorized_official_title_or_position": "OWNER DENTISTS",
"authorized_official_telephone_number": "210-495-7800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.