NPIMap

Organization Active NPI

Dentists of Stone Oak, PC

Doing business as Dentsits of Stone Oak

  • Dentist
  • San Antonio, TX
National Provider Identifier
1891262176
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTISTS OF STONE OAK, PC
Doing business as
Dentsits of Stone Oak
Practice address
23714 Hardy Oak Blvd
Suite 110
San Antonio, TX 78258
Phone
(210) 664-3479
Fax
(210) 664-6821
NPI assigned
Oct 25, 2018
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. Taj A Ibrik, DDS
Title
DDS/Owner
Phone
(210) 664-3479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

23714 Hardy Oak Blvd
Suite 110
San Antonio, TX 78258

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Dentsits of Stone Oak Doing business as

National Provider Directory

National Provider Directory

Locations

23714 Hardy Oak Blvd
Ste 110
San Antonio, TX 78260
Phone (210) 664-3479

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1891262176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23714 HARDY OAK BLVD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-664-3479",
            "fax_number": "210-664-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF STONE OAK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "IBRIK",
        "authorized_official_first_name": "TAJ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "210-664-3479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentsits of Stone Oak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentsits of Stone Oak",
            "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 Feb 8, 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.