Individual provider Active NPI

Ana Reyes Retana, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1952315038
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22930 Issued in TX
Practice address
14855 Blanco Rd Ste 413
San Antonio, TX 78216-7731
Phone
(210) 884-7805
Fax
(210) 408-6001
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22930 TX Primary

Addresses

Primary practice location

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

Mailing address

14855 Blanco Rd Ste 413
San Antonio, TX 78216-7731
Phone (210) 884-7805

Other identifiers 1

IdentifierTypeStateIssuer
22930OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Dental Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1952315038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-884-7805",
            "fax_number": "210-408-6001"
        },
        {
            "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": "210-884-7805",
            "fax_number": "210-408-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES RETANA",
        "first_name": "ANA",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "22930",
            "state": "TX"
        }
    ],
    "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 Mar 18, 2011; 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.