Active NPI
Aventura Dental
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1972068401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AVENTURA DENTAL
- Practice address
- 11915 Perrin Beitel Rd
San Antonio, TX 78217-2127 - Phone
- (214) 493-1216
- NPI assigned
- Feb 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nina Abtahi
- Title
- Manager
- Phone
- (214) 493-1216
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X |
Addresses
Primary practice location
11915 Perrin Beitel Rd
San Antonio, TX 78217-2127
Mailing address
11915 Perrin Beitel Rd
San Antonio, TX 78217-2127
Phone (214) 493-1216
Other names 1
- Aventura Dental
National Provider Directory
National Provider DirectoryLocations
11915 Perrin Beitel Rd
San Antonio, TX 78217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1114129764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1972068401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11915 PERRIN BEITEL RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782172127",
"telephone_number": "214-493-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11915 PERRIN BEITEL RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782172127",
"telephone_number": "214-493-1216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVENTURA DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "ABTAHI",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-493-1216"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aventura Dental",
"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 Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.