Canyon Golf Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANYON GOLF FAMILY DENTISTRY

Practice address

20210 Stone Oak Pkwy
209
San Antonio, TX 78258

Phone

(210) 787-2062

NPI assigned

Dec 2, 2013

Last updated

Mar 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan E Soto, DD.S.NPI 1669619078

Title

General Dentist

Phone

(210) 787-2062

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Efrain Soto, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1669619078
  NPD (past) Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1821429820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20210 STONE OAK PKWY",
            "address_2": "TBD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-787-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20210 STONE OAK PKWY",
            "address_2": "209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-787-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON GOLF FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "210-787-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DD.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Cantu
• Yolanda Ruth Cantu, LSA
• Amy Cantwell, CNIM
• M Kathleen Canty, CNS
• Canvas Mental Health PLLC
• Canyon Kids Therapy LLC
• Christopher-Hy Cao
• Diep Ngoc Cao, DO
• Jasmine Capers
• Taylor Caperton

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Mar 13, 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.