NPIMap

Organization Active NPI

E. Thomas Bice, Jr., D.D.S., P.a.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1831366400
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17059 Issued in TX
Legal business name
E. THOMAS BICE, JR., D.D.S., P.A.
Practice address
4496 Callaghan Rd
San Antonio, TX 78228-3400
Phone
(210) 435-4601
Fax
(210) 435-7131
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Ernest Thomas Bice, D.D.S., P.A.NPI 1487762241
Title
Dentist/Owner
Phone
(210) 435-4601

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 17059 TX Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9277 TX

Addresses

Primary practice location

4496 Callaghan Rd
San Antonio, TX 78228-3400

Mailing address

4496 Callaghan Rd
San Antonio, TX 78228-3400
Phone (210) 435-4601

Other identifiers 8

IdentifierTypeStateIssuer
00704262OtherTXUNITED CONCORDIA
00191100OtherTXUNITED CONCORDIA
G-60093OtherTXTEXAS CHIP
D17059OtherTXBC/BS
00M240OtherTXBC/BS
B09277OtherTXTEXAS CHIP
007987301MedicaidTX
090184502MedicaidTX

National Provider Directory

National Provider Directory

Locations

4496 Callaghan Rd
San Antonio, TX 78228
Phone (210) 435-4601

Practitioners & affiliated clinicians

Practitioners 2

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1831366400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4496 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283400",
            "telephone_number": "210-435-4601",
            "fax_number": "210-435-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4496 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283400",
            "telephone_number": "210-435-4601",
            "fax_number": "210-435-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. THOMAS BICE, JR., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BICE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "210-435-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17059",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00704262",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00191100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "G-60093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "D17059",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00M240",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "B09277",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007987301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090184502",
            "state": "TX"
        }
    ],
    "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 May 13, 2008; 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.