Full Smile Helotes Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FULL SMILE HELOTES ORTHODONTICS, PLLC

Practice address

11868 Bandera Rd
Helotes, TX 78023-4132

Phone

(210) 695-1738

Fax

(210) 695-1736

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Williams

Title

Credentialing Manager

Phone

(806) 353-1055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1952174120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537282",
            "telephone_number": "210-695-1738",
            "fax_number": "210-695-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11868 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "210-695-1738",
            "fax_number": "210-695-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SMILE HELOTES ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "806-353-1055"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delayney Jayde Fountain
• Alexander Frausto
• Susan Elizabeth Frechette, PT
• Braxton Fritz, MD
• Matthew A Froman, PA-C
• Jelani Fuller, LPC-A
• Gabe Rodriguez M.D., P.a.
• Brenda Jackelyn Garces, MSN-AGACNP
• Natalia Garcia-Moreno
• Alejandra Herrera Garcia, AGPCNP-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Helotes, TX
• Providers in Helotes, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.