Individual provider Active NPI

Gerald James Re, DMD

  • General Practice Dentistry
  • Fort Sam Houston, TX
National Provider Identifier
1922060797
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15365 Issued in TX
Practice address
2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230
Phone
(210) 295-2743
Fax
(210) 295-2602
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15365 TX Primary

Addresses

Primary practice location

2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230

Mailing address

2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230
Phone (210) 295-2743

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
15365TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922060797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 STANLEY ROAD",
            "address_2": "DENTAC SUITE 200J",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346230",
            "telephone_number": "210-295-2743",
            "fax_number": "210-295-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 STANLEY ROAD",
            "address_2": "DENTAC SUITE 200J",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346230",
            "telephone_number": "210-295-2743",
            "fax_number": "210-295-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RE",
        "first_name": "GERALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.