Organization Active NPI

Alamo Kids Dental PLLC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1982104139
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALAMO KIDS DENTAL PLLC
Practice address
6820 Alamo Pkwy Ste 110
San Antonio, TX 78253-6595
Phone
(210) 951-0046
Fax
(210) 688-4418
NPI assigned
Feb 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Dr. Peter Gurr, DDSNPI 1558520262
Title
Member/Owner
Phone
(210) 951-0046

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X TX Primary

Addresses

Primary practice location

6820 Alamo Pkwy Ste 110
San Antonio, TX 78253-6595

Mailing address

6820 Alamo Pkwy Ste 110
San Antonio, TX 78253-6595
Phone (210) 951-0046

Other identifiers 1

IdentifierTypeStateIssuer
1558520262MedicaidTX

Other names 1

  • Alamo Kids Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6820 Alamo Pkwy
Ste 110
San Antonio, TX 78253
Phone (210) 951-0046

Practitioners & affiliated clinicians

Practitioners 4

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": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1982104139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 ALAMO PKWY STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536595",
            "telephone_number": "210-951-0046",
            "fax_number": "210-688-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 ALAMO PKWY STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536595",
            "telephone_number": "210-951-0046",
            "fax_number": "210-688-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO KIDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "GURR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "210-951-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558520262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Kids 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 14, 2018; 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.