Active NPI
Stevens Ranch Modern Dentistry, PC
- Dentist
- San Antonio, TX
National Provider Identifier
1891476578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- STEVENS RANCH MODERN DENTISTRY, PC
- Practice address
- 14314 Potranco Rd, Ste 109
San Antonio, TX 78245 - Phone
- (830) 455-4967
- Fax
- (830) 455-4967
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria A Alston, DDS
- Title
- Owner
- Phone
- (830) 455-4967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
14314 Potranco Rd, Ste 109
San Antonio, TX 78245
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890
Other names 1
- Stevens Ranch Modern Dentistry
National Provider Directory
National Provider DirectoryLocations
14314 Potranco Rd
Ste 109
San Antonio, TX 78253
Phone (702) 287-6065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1891476578",
"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": "714-845-8890",
"fax_number": "303-952-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14314 POTRANCO RD, STE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78245",
"telephone_number": "830-455-4967",
"fax_number": "830-455-4967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENS RANCH MODERN DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "ALSTON",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "830-455-4967",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stevens Ranch Modern Dentistry",
"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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.