NPIMap

Organization Active NPI

Dental Professionals of Texas, P.a.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1811670516
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF TEXAS, P.A.
Practice address
16530 Nacogdoches Rd
San Antonio, TX 78247-1006
Phone
(210) 664-0462
Fax
(210) 664-0063
NPI assigned
Aug 9, 2023
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF TEXAS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16530 Nacogdoches Rd
San Antonio, TX 78247-1006

Mailing address

16530 Nacogdoches Rd
San Antonio, TX 78247-1006
Phone (210) 664-0462

Other names 1

  • Fox Garden Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Texas PA13 organizations share this tax ID, including this one
Part of
Dental Professionals of Texas PA

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16530 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 664-0462

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1811670516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471006",
            "telephone_number": "210-664-0462",
            "fax_number": "210-664-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471006",
            "telephone_number": "210-664-0462",
            "fax_number": "210-664-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF TEXAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF TEXAS, P.A.",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Garden Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fox Garden Dental Care",
            "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 Oct 2, 2023; 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.