Individual provider Active NPI

Daniel Eloy Hernandez, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1902415839
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36405 Issued in TX
Practice address
8131 Callaghan Rd
San Antonio, TX 78230-4720
Phone
(210) 263-1532
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36405 TX Primary

Addresses

Primary practice location

8131 Callaghan Rd
San Antonio, TX 78230-4720

Mailing address

5503 Research Dr Apt 4105
San Antonio, TX 78240-5068
Phone (281) 723-5911

Other practice location 1

4901 E 42nd St Ste B
Odessa, TX 79762-7338
Phone (432) 362-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36405TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Aguilar, DDS, PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

8131 Callaghan Rd
San Antonio, TX 78230
Phone (210) 263-1532

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1902415839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 RESEARCH DR APT 4105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405068",
            "telephone_number": "281-723-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304720",
            "telephone_number": "210-263-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 E 42nd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797627338",
            "country_code": "US",
            "telephone_number": "432-362-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DANIEL",
        "middle_name": "ELOY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 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.