Organization Active NPI

My Hometown Dentist

Doing business as My Hometown Dentist at Leon Springs

  • Dentist
  • San Antonio, TX
National Provider Identifier
1881105419
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MY HOMETOWN DENTIST
Doing business as
My Hometown Dentist at Leon Springs
Practice address
24200 W Interstate 10 Ste 112
San Antonio, TX 78257-1150
Phone
(210) 687-1133
NPI assigned
Oct 23, 2017
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MY HOMETOWN DENTIST AT LEON SPRINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Dr. Paul Christopher Bays, DDS
Title
President/Owner
Phone
(808) 640-8470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23202 TX
Dentist 122300000X Primary

Addresses

Primary practice location

24200 W Interstate 10 Ste 112
San Antonio, TX 78257-1150

Mailing address

24200 W Interstate 10 Ste 112
San Antonio, TX 78257-1150
Phone (210) 687-1133

Other identifiers 1

IdentifierTypeStateIssuer
1629284724OtherTXDENTIST

Other names 1

  • My Hometown Dentist at Leon Springs Doing business as

National Provider Directory

National Provider Directory
Part of
My Hometown Dentist

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1881105419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 W INTERSTATE 10 STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571150",
            "telephone_number": "210-687-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 W INTERSTATE 10 STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571150",
            "telephone_number": "210-687-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOMETOWN DENTIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY HOMETOWN DENTIST AT LEON SPRINGS",
        "enumeration_date": "2017-10-23",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "BAYS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-640-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23202",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1629284724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Hometown Dentist at Leon Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2022; 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.