Organization Active NPI

Potranco 7To7 PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1962177998
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
POTRANCO 7TO7 PLLC
Practice address
10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330
Phone
(210) 495-2000
Fax
(210) 495-2001
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Andrea Carolina Villarreal
Title
Credentialing Manager
Phone
(210) 495-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330

Mailing address

PO Box 461649
San Antonio, TX 78246-1649
Phone (210) 495-2000

National Provider Directory

National Provider Directory

Locations

10730 Potranco Rd
Ste 111
San Antonio, TX 78251
Phone (210) 509-8400

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1962177998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461649",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782461649",
            "telephone_number": "210-495-2000",
            "fax_number": "210-495-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-495-2000",
            "fax_number": "210-495-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRANCO 7TO7 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "210-495-2000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 11, 2021; 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.