Organization Active NPI

David J Katrana DDS,MD,PA

  • Plastic and Reconstructive Surgery Physician
  • Boerne, TX
National Provider Identifier
1952595753
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DAVID J KATRANA DDS,MD,PA
Practice address
215 Leather Leaf
Boerne, TX 78006-2129
Phone
(713) 805-4870
Fax
(281) 833-3327
NPI assigned
Sep 5, 2007
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. David J Katrana, M.D.
Title
Owner
Phone
(713) 805-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

215 Leather Leaf
Boerne, TX 78006-2129

Mailing address

PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330

Other identifiers 2

IdentifierTypeStateIssuer
00707KOtherTXBLUE CROSS/BLUE SHEILD
081033501MedicaidTX

National Provider Directory

National Provider Directory

Locations

909 Frostwood Dr
Ste 260
Houston, TX 77024
Phone (713) 974-7269

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1952595753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LEATHER LEAF",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062129",
            "telephone_number": "713-805-4870",
            "fax_number": "281-833-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J KATRANA DDS,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "KATRANA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-805-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "00707K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081033501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.