Nautical Dental

Primary specialty

DentistTaxonomy code 122300000X

License

28732 Issued in TX

Legal business name

NAUTICAL DENTAL

Practice address

16414 San Pedro Ave
Suite 200
San Antonio, TX 78232-2277

Phone

(210) 499-0009

Fax

(210) 499-0003

NPI assigned

Sep 25, 2014

Organization subpart

Yes

Parent organization

ERIC D. CORNELIUS DDS PAAs reported in NPPES

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

Authorized official

Name

Dr. Eric Cornelius, DDS

Title

Owner/Dentist

Phone

(541) 671-0265

Specialties & licenses 1

Addresses

Part of

Nautical Dental

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1902208648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 SAN PEDRO AVE",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322277",
            "telephone_number": "210-499-0009",
            "fax_number": "210-499-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 SAN PEDRO AVE",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322277",
            "telephone_number": "210-499-0009",
            "fax_number": "210-499-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTICAL DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC D. CORNELIUS DDS PA",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-671-0265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Lane Naugher, MD
• Jerald Steven Naum, D.C.
• Sofia Naupari Bolanos, LPC
• Terrence J. Naus, PSY. D.
• Nautical Dental
• Brenda A Nava, PT, DPT
• David Nava Jr., MD
• Katie Nava
• Lynda Eugenia Nava, M.A., CCC-SLP
• Marissa Nava

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.