Individual provider Active NPI

Celeste G Pokorney, DDS, DHSC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1932426913
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25312 Issued in TX
Practice address
119 Adams St
San Antonio, TX 78210-1102
Phone
(512) 431-6444
NPI assigned
Apr 29, 2010
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25312 TX Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25312 TX

Addresses

Primary practice location

119 Adams St
San Antonio, TX 78210-1102

Mailing address

5600 Babcock Rd
#4106
San Antonio, TX 78240-1811
Phone (512) 431-6444

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
25312TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1932426913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BABCOCK RD",
            "address_2": "#4106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401811",
            "telephone_number": "512-431-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ADAMS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101102",
            "telephone_number": "512-431-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKORNEY",
        "first_name": "CELESTE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS, DHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25312",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25312",
            "primary": false
        }
    ],
    "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 Nov 29, 2021; 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.