Shavano Park Family Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

License

21004 Issued in TX

Legal business name

SHAVANO PARK FAMILY DENTISTRY, PA

Practice address

4466 Lockhill Selma Rd
Ste. 102
San Antonio, TX 78249-2078

Phone

(210) 764-8600

Fax

(210) 764-0844

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Huyen Allison Tran, DDSNPI 1427083773

Title

President

Phone

(210) 764-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Huyen Allison Tran, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1427083773
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942359286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 LOCKHILL SELMA RD",
            "address_2": "STE. 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492078",
            "telephone_number": "210-764-8600",
            "fax_number": "210-764-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 LOCKHILL SELMA RD",
            "address_2": "STE. 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492078",
            "telephone_number": "210-764-8600",
            "fax_number": "210-764-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVANO PARK FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HUYEN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-764-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J. Shaughnessy, M.D.
• Shaun R Gifford DC
• Shavano Eye Center PLLC
• Shavano Family Practice PA
• Shavano Medical Management PLLC
• Shavano Precision Laboratory, LLC
• Shave Dental PLLC
• Shave Dental PLLC
• Shavon Mariah Social Services, PA
• Brittany Shaw-Antwine

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.