NPIMap

Organization Active NPI

Kiddo Denal PA

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1841580826
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23041 Issued in TX
Legal business name
KIDDO DENAL PA
Practice address
3520 S. New Braunfels Ste 100
Kiddo Dental
San Antonio, TX 78223
Phone
(210) 532-3040
Fax
(210) 532-2105
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Cesar Rotter, DDS
Title
Dentist
Phone
(210) 532-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 23041 TX Primary

Addresses

Primary practice location

3520 S. New Braunfels Ste 100
Kiddo Dental
San Antonio, TX 78223

Mailing address

3520 S. New Braunfels Ste 100
Kiddo Dental
San Antonio, TX 78223
Phone (210) 532-3040

Other identifiers 1

IdentifierTypeStateIssuer
182604206MedicaidTX

Other names 1

  • Cesar Rotter DDS Other name

National Provider Directory

National Provider Directory
Tax ID family
Cesar Rotter DDS2 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.

Locations

3520 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 532-3040

Practitioners & affiliated clinicians

Practitioners 3

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1841580826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S. NEW BRAUNFELS STE 100",
            "address_2": "KIDDO DENTAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-532-3040",
            "fax_number": "210-532-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 S. NEW BRAUNFELS STE 100",
            "address_2": "KIDDO DENTAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-532-3040",
            "fax_number": "210-532-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDO DENAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-532-3040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182604206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cesar Rotter DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 12, 2011; 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.