Deerfield Dental

Primary specialty

DentistTaxonomy code 122300000X

License

19006 Issued in TX

Legal business name

DEERFIELD DENTAL

Practice address

14855 Blanco Rd Ste 413
San Antonio, TX 78216-7731

Phone

(210) 408-6000

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irene Kiansky BlaessNPI 1023198611

Title

Vice President

Phone

(210) 445-7915

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Irene K Blaess, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1023198611
  NPD (past) Authorized official
• Keyur Bhagat, D.D.S.

  • General Practice Dentistry
  • Boerne, TX
  • NPI 1215303136
  NPD (past)
• Ana Reyes Retana, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1952315038
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1942518626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 DE ZAVALA RD STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492236",
            "telephone_number": "210-408-6000",
            "fax_number": "210-561-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-408-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "BLAESS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "KIANSKY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-445-7915",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deer Oaks Geriatric Services P C (Deer Oaks Consultation Services)
• Deer Oaks Geriatric Services P C
• Deer Oaks Mid-West LLC
• Deer Oaks Minnesota LLC
• Deer Oaks Southeast LLC
• Deerfield Healthcare, LLC
• Shad Deering, M.D.
• Deerwood Family Practice, PLLC
• Alys Deese
• Shawna Mohney Deeves, M.D.

• 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 Sep 16, 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.