NPIMap

Organization Active NPI

San Antonio Endodontics Associates LLC

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1841714672
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
26412 Issued in TX
Legal business name
SAN ANTONIO ENDODONTICS ASSOCIATES LLC
Practice address
1110 NW Loop 410
Suite 515
San Antonio, TX 78213
Phone
(210) 341-8281
Fax
(210) 341-8282
NPI assigned
Aug 2, 2017
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
David Leo Cloutier, DMDNPI 1659570158
Title
Manager Member
Phone
(210) 341-8281

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
Endodontics 1223E0200X 26412 TX Primary

Addresses

Primary practice location

1110 NW Loop 410
Suite 515
San Antonio, TX 78213

Mailing address

1100 NW Loop 410 Ste 515
San Antonio, TX 78213-2259
Phone (210) 341-8281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1841714672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 515",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132259",
            "telephone_number": "210-341-8281",
            "fax_number": "210-341-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NW LOOP 410",
            "address_2": "SUITE 515",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-341-8281",
            "fax_number": "210-341-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ENDODONTICS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "210-341-8281",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "26412",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2019; 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.