Active NPI
Ricardo Salinas Clinic
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1922047323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- RICARDO SALINAS CLINIC
- Practice address
- 630 N General McMullen
San Antonio, TX 78228-6215 - Phone
- (210) 436-0098
- Fax
- (210) 433-0643
- NPI assigned
- Jun 5, 2006
- Reactivated
- Oct 24, 2017
- Organization subpart
- Yes
- Parent organization
- UTHSCSA DENTAL SCHOOL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Monique Marks
- Title
- VP & Chief Operating Officer
- Phone
- (210) 567-7103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | TX | Primary |
Addresses
Primary practice location
630 N General McMullen
San Antonio, TX 78228-6215
Mailing address
PO Box 6028
San Antonio, TX 78209-0028
Phone (210) 567-6405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G60211-01 | Other | TX | CHIP |
| 178118901 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Univ of TX HLTH Science
- Part of
- Univ of TX HLTH Science
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1922047323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6028",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782090028",
"telephone_number": "210-567-6405",
"fax_number": "210-567-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N GENERAL MCMULLEN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782286215",
"telephone_number": "210-436-0098",
"fax_number": "210-433-0643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO SALINAS CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UTHSCSA DENTAL SCHOOL",
"enumeration_date": "2006-06-05",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"deactivation_date": "2017-10-09",
"reactivation_date": "2017-10-24",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "VP & CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "210-567-7103"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "G60211-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178118901",
"state": "TX"
}
],
"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 Oct 16, 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.