Organization Active NPI

South Coast Endodontics

Doing business as Sugar Creek Endodontics

  • Endodontics
  • Corpus Christi, TX
National Provider Identifier
1902690597
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SOUTH COAST ENDODONTICS
Doing business as
Sugar Creek Endodontics
Practice address
5525 S Staples St Ste A4
Corpus Christi, TX 78411-5362
Phone
(361) 881-4260
Fax
(361) 881-4292
NPI assigned
Apr 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Miroslava Rodriguez
Title
Manager
Phone
(281) 201-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5525 S Staples St Ste A4
Corpus Christi, TX 78411-5362

Mailing address

5525 S Staples St Ste A4
Corpus Christi, TX 78411-5362
Phone (361) 881-4260

Other names 1

  • Sugar Creek Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5525 S Staples St
Ste A4
Corpus Christi, TX 78411
Phone (361) 992-9500

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1902690597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 S STAPLES ST STE A4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115362",
            "telephone_number": "361-881-4260",
            "fax_number": "361-881-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S STAPLES ST STE A4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115362",
            "telephone_number": "361-881-4260",
            "fax_number": "361-881-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MIROSLAVA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-201-2824"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Creek Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.