Organization Active NPI

Alamo Smiles Dentistry, PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1942439591
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALAMO SMILES DENTISTRY, PLLC
Practice address
2329 S WW White Rd
San Antonio, TX 78222-1936
Phone
(210) 648-2451
NPI assigned
Jul 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Dr. Cornelia Ann Moore Phillis, DDSNPI 1942395538
Title
Owner
Phone
(210) 648-2451

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 1

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

Addresses

Primary practice location

2329 S WW White Rd
San Antonio, TX 78222-1936

Mailing address

2329 S WW White Rd
San Antonio, TX 78222-1936
Phone (210) 648-2451

National Provider Directory

National Provider Directory

Locations

2329 S WW White Rd
San Antonio, TX 78222
Phone (210) 648-2451

Practitioners & affiliated clinicians

Practitioners 2

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": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1942439591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782221936",
            "telephone_number": "210-648-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782221936",
            "telephone_number": "210-648-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO SMILES DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIS",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "ANN MOORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-648-2451",
        "authorized_official_name_prefix": "Dr.",
        "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 Jul 15, 2010; 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.