NPIMap

Organization Active NPI

David L Fleitas DDS PLLC

  • Pediatric Dentistry
  • La Vernia, TX
National Provider Identifier
1942530910
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17709 Issued in TX
Legal business name
DAVID L FLEITAS DDS PLLC
Practice address
101 Juniors PL
La Vernia, TX 78121-4886
Phone
(830) 779-3013
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
David L Fleitas, DDSNPI 1710056619
Title
Sole Member
Phone
(830) 779-3013

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 17709 TX Primary

Addresses

Primary practice location

101 Juniors PL
La Vernia, TX 78121-4886

Mailing address

PO Box 200698
San Antonio, TX 78220
Phone (830) 779-3013

National Provider Directory

National Provider Directory

Locations

101 Juniors Pl
La Vernia, TX 78121
Phone (830) 779-3013

Practitioners & affiliated clinicians

Practitioners 1

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": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1942530910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200698",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78220",
            "telephone_number": "830-779-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUNIORS PL",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781214886",
            "telephone_number": "830-779-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L FLEITAS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "830-779-3013",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.