Organization Active NPI

Ricardo Salinas Clinic

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1922047323
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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 SCHOOLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G60211-01OtherTXCHIP
178118901MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Univ of TX HLTH Science14 organizations share this tax ID, including this one
Part of
Univ of TX HLTH Science

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

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.

Verify at the official NPI Registry.