NPIMap

Organization Active NPI

Bulverde Dentistry, PC

Doing business as Bulverde Dentistry

  • Dentist
  • Spring Branch, TX
National Provider Identifier
1871025072
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BULVERDE DENTISTRY, PC
Doing business as
Bulverde Dentistry
Practice address
20248 State Highway 46 W Ste 140
Spring Branch, TX 78070-6894
Phone
(830) 201-1085
Fax
(830) 455-4014
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. John Barnes, DDS
Title
Owner Dentist
Phone
(830) 201-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

20248 State Highway 46 W Ste 140
Spring Branch, TX 78070-6894

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Bulverde Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

20248 State Highway 46 W
Ste 140
Spring Branch, TX 78070
Phone (830) 201-1085

Practitioners & affiliated clinicians

Practitioners 4

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1871025072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20248 STATE HIGHWAY 46 W STE 140",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706894",
            "telephone_number": "830-201-1085",
            "fax_number": "830-455-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULVERDE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "830-201-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bulverde Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.