NPIMap

Organization Active NPI

Texan Smile Dentistry 2 PC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1821307984
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15889 Issued in TX
Legal business name
TEXAN SMILE DENTISTRY 2 PC
Practice address
6301 NW Loop 410
#L-1a
San Antonio, TX 78238-3824
Phone
(210) 354-4867
Fax
(210) 681-6985
NPI assigned
Oct 6, 2010
Last updated
Oct 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Ms. Bertha Elizabeth Rodriguez
Title
Regional Manager
Phone
(210) 354-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15889 TX Primary

Addresses

Primary practice location

6301 NW Loop 410
#L-1a
San Antonio, TX 78238-3824

Mailing address

6301 NW Loop 410
#L-1a
San Antonio, TX 78238-3824
Phone (210) 354-4867

National Provider Directory

National Provider Directory
Tax ID family
Texan Smile Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1821307984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410",
            "address_2": "#L-1A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383824",
            "telephone_number": "210-354-4867",
            "fax_number": "210-681-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410",
            "address_2": "#L-1A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383824",
            "telephone_number": "210-354-4867",
            "fax_number": "210-681-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN SMILE DENTISTRY 2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "210-354-4867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15889",
            "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 Oct 6, 2010; 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.