NPIMap

Organization Active NPI

A.B. Dental P.C.

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1821344607
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
27950 Issued in TX
Legal business name
A.B. DENTAL P.C.
Practice address
11345 Alamo Ranch Pkwy
Suite 104
San Antonio, TX 78253
Phone
(210) 538-2772
Fax
(210) 538-2607
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Perry J Bushong II, D.D.S.NPI 1992069728
Title
Dentist
Phone
(210) 538-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 27950 TX Primary

Addresses

Primary practice location

11345 Alamo Ranch Pkwy
Suite 104
San Antonio, TX 78253

Mailing address

11345 Alamo Ranch Pkwy
Suite 104
San Antonio, TX 78253
Phone (210) 538-2772

Other names 1

  • Alamo Ranch Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11345 Alamo Ranch Pkwy
Ste 104
San Antonio, TX 78253
Phone (210) 538-2772

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1821344607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-538-2772",
            "fax_number": "210-538-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-538-2772",
            "fax_number": "210-538-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.B. DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-538-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Ranch Dental",
            "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 May 15, 2014; 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.