Organization Active NPI

Potranco Dentistry, PC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1922653518
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
POTRANCO DENTISTRY, PC
Practice address
10538 Potranco Rd Ste 206
San Antonio, TX 78251-3359
Phone
(210) 469-4235
Fax
(210) 571-7986
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Christopher Vogt, DDS
Title
Owner
Phone
(210) 469-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10538 Potranco Rd Ste 206
San Antonio, TX 78251-3359

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8206

Other names 1

  • Potranco Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10538 Potranco Rd
Ste 206
San Antonio, TX 78251
Phone (210) 469-4235

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1922653518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8206",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 POTRANCO RD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513359",
            "telephone_number": "210-469-4235",
            "fax_number": "210-571-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRANCO DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-469-4235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potranco Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potranco Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2024; 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.