Organization Active NPI

Valudental San Pedro LLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1952864720
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VALUDENTAL SAN PEDRO LLC
Practice address
6868 San Pedro Ave
San Antonio, TX 78216-7201
Phone
(210) 683-6353
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. David Ferguson, DDS CAGSNPI 1568508794
Title
Manager
Phone
(210) 675-7000

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6868 San Pedro Ave
San Antonio, TX 78216-7201

Mailing address

8700 Marbach Rd
San Antonio, TX 78227-2345
Phone (210) 675-7000

Other names 1

  • Celebrate Dental & Braces Doing business as

National Provider Directory

National Provider Directory

Locations

8700 Marbach Rd
San Antonio, TX 78227
Phone (210) 321-9664

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1952864720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272345",
            "telephone_number": "210-675-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6868 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167201",
            "telephone_number": "210-683-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUDENTAL SAN PEDRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-675-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS CAGS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2020; 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.