Active NPI
Ralph a. Crevoisier D.D.S.,M.S.D. PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
National Provider Identifier
1972761450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7663
- Legal business name
- RALPH A. CREVOISIER D.D.S.,M.S.D. PC
- Practice address
- 8110 Windway Dr
San Antonio, TX 78239-2433 - Phone
- (210) 653-9227
- NPI assigned
- May 30, 2008
- 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
- Dr. Ralph Aaron Crevoisier, D.D.S.,M.S.D.
- Title
- President
- Phone
- (210) 494-4978
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7663 | TX | Primary |
Addresses
Primary practice location
8110 Windway Dr
San Antonio, TX 78239-2433
Mailing address
14107 Country Vale
San Antonio, TX 78216-2354
Phone (210) 494-4978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515067495 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Windcrest, TX
- NPI 1720193303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1972761450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14107 COUNTRY VALE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162354",
"telephone_number": "210-494-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 WINDWAY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782392433",
"telephone_number": "210-653-9227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH A. CREVOISIER D.D.S.,M.S.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "CREVOISIER",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-494-4978",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S.,M.S.D."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "7663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "515067495",
"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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.