Individual provider Active NPI

Anibal Roberto Diogenes, DDS, PHD

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1942484670
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
UTSA 815-X Issued in TX
Practice address
8210 Floyd Curl Dr
Department of Endodontics
San Antonio, TX 78229-3923
Phone
(210) 450-3611
NPI assigned
Dec 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X UTSA 815-X TX Primary

Addresses

Primary practice location

8210 Floyd Curl Dr
Department of Endodontics
San Antonio, TX 78229-3923

Mailing address

8210 Floyd Curl Drive
Department of Endodontics
San Antonio, TX 78229
Phone (210) 450-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000355 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810169281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
UTSA 815-XTXMDEndodontist

Interoperability endpoints

  • Direct secure messaging: adiogenes56876@direct.utmsa.com

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1942484670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 FLOYD CURL DRIVE",
            "address_2": "DEPARTMENT OF ENDODONTICS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-450-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 FLOYD CURL DR",
            "address_2": "DEPARTMENT OF ENDODONTICS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293923",
            "telephone_number": "210-450-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOGENES",
        "first_name": "ANIBAL",
        "middle_name": "ROBERTO",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "UTSA 815-X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.