Carillion Hills Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D12868 Issued in TX

Legal business name

CARILLION HILLS DENTAL INC

Doing business as

Cosmetic Dental Associates

Practice address

5837 Babcock Rd
San Antonio, TX 78240-2135

Phone

(210) 696-1220

Fax

(210) 696-6861

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Arthur Moore Jr., DDSNPI 1952520983

Title

Dentist

Phone

(210) 696-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cosmetic Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A Moore, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1952520983
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1912031485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5837 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402135",
            "telephone_number": "210-696-1220",
            "fax_number": "210-696-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402135",
            "telephone_number": "210-696-1220",
            "fax_number": "210-696-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLION HILLS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-696-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "D12868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D12868",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Lyne Cargil, RN, CDCES
• Karime Cariaga, CCC-SLP
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• Peter A Carich, PHD
• Sylvia Carignan
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• Caring Hearts Home Health
• Caring Senior Service USA (Caring Senior Service)

• 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 Jul 9, 2008; 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.