NPIMap

Organization Active NPI

Potranco Family Dental PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1932790987
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POTRANCO FAMILY DENTAL PLLC
Practice address
14317 Potranco Road
San Antonio, TX 78245
Phone
(213) 290-8160
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. Sumeet Sharma, DMDNPI 1841505047
Title
Dentist
Phone
(617) 913-2151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

14317 Potranco Road
San Antonio, TX 78245

Mailing address

224 Highway 290 W
Brenham, TX 77833-9166
Phone (617) 955-6017

Other names 1

  • Potranco Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

224 Highway 290 W
Brenham, TX 77833
Phone (979) 830-5022

Practitioners & affiliated clinicians

Practitioners 3

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": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1932790987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HIGHWAY 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339166",
            "telephone_number": "617-955-6017",
            "fax_number": "979-830-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14317 POTRANCO ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "213-290-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRANCO FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-913-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potranco Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potranco Family Dental",
            "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 Feb 2, 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.