Organization Active NPI

Sabal Dental San Antonio PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1922710797
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SABAL DENTAL SAN ANTONIO PLLC
Practice address
3740 Colony Dr Ste 254
San Antonio, TX 78230-2233
Phone
(956) 428-3300
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Valerie Drake, DDS
Title
Member
Phone
(956) 428-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3740 Colony Dr Ste 254
San Antonio, TX 78230-2233

Mailing address

2319 E Tyler Ave
Harlingen, TX 78550-7384
Phone (956) 428-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1922710797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507384",
            "telephone_number": "956-428-3300",
            "fax_number": "956-440-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 254",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302233",
            "telephone_number": "956-428-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABAL DENTAL SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-428-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 23, 2022; 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.