Active NPI
Ivy Dental Care, PLLC
- Dental Clinic/Center
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 31852
- Legal business name
- IVY DENTAL CARE, PLLC
- Practice address
- 7915 W Loop 1604 N Ste 119
San Antonio, TX 78254-4661 - Phone
- (210) 672-3737
- Fax
- (210) 672-3738
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 2017
- Organization subpart
- Yes
- Parent organization
- IVY DENTAL CARE, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uzma Hasheem, DDS
- Title
- Owner Dentist
- Phone
- (210) 672-3737
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 31852 | TX | Primary |
Addresses
Primary practice location
7915 W Loop 1604 N Ste 119
San Antonio, TX 78254-4661
Mailing address
7915 W Loop 1604 N Ste 119
San Antonio, TX 78254-4661
Phone (210) 672-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3726879 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Ivy Dental Care PLLC
Locations
7915 W Loop 1604 N
Ste 119
San Antonio, TX 78254
Phone (210) 672-3737
Practitioners & affiliated clinicians
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.
-
- Dentist
- Universal City, TX
- NPI 1992026629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1861905473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 W LOOP 1604 N STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782544661",
"telephone_number": "210-672-3737",
"fax_number": "210-672-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 W LOOP 1604 N STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782544661",
"telephone_number": "210-672-3737",
"fax_number": "210-672-3738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY DENTAL CARE, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IVY DENTAL CARE, PLLC",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "HASHEEM",
"authorized_official_first_name": "UZMA",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "210-672-3737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "31852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3726879",
"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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.