Organization Active NPI

Brooks RSVM PLLC

Doing business as The Dental Space

  • Dentist
  • San Antonio, TX
National Provider Identifier
1932849924
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BROOKS RSVM PLLC
Doing business as
The Dental Space
Practice address
3207 SE Military Dr Ste 101
San Antonio, TX 78223-3881
Phone
(214) 493-1216
NPI assigned
Mar 30, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Nina Abtahi
Title
Manager
Phone
(214) 493-1216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

3207 SE Military Dr Ste 101
San Antonio, TX 78223-3881

Mailing address

3207 SE Military Dr Ste 101
San Antonio, TX 78223-3881
Phone (214) 493-1216

Other names 1

  • The Dental Space Doing business as

National Provider Directory

National Provider Directory

Locations

3207 SE Military Dr
Ste 101
San Antonio, TX 78223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1932849924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 SE MILITARY DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233881",
            "telephone_number": "214-493-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 SE MILITARY DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233881",
            "telephone_number": "214-493-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS RSVM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "ABTAHI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-493-1216"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Space",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dental Space",
            "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 Oct 7, 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.