Organization Active NPI

C3Tsd Enterprises PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1821629080
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
C3TSD ENTERPRISES PLLC
Practice address
523 Med CT # 106
San Antonio, TX 78258-3359
Phone
(210) 281-5115
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Dr. Alejandro Cavazos, DDS
Title
Owner Dentist
Phone
(210) 281-5115

Specialties & licenses 1

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

Addresses

Primary practice location

523 Med CT # 106
San Antonio, TX 78258-3359

Mailing address

523 Med CT # 106
San Antonio, TX 78258-3359
Phone (210) 281-5115

Other names 1

  • Bright Smile Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

523 Med Ct
#106
San Antonio, TX 78258
Phone (210) 281-5115

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1821629080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 MED CT # 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583359",
            "telephone_number": "210-281-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 MED CT # 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583359",
            "telephone_number": "210-281-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3TSD ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "210-281-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Smile Dental and Orthodontics",
            "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 Jan 27, 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.

Verify at the official NPI Registry.