Active NPI
Margaret Susan Enoch, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1982760294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401411542
- Practice address
- 119 SW Loop 410
Ste 109
San Antonio, TX 78245-2107 - Phone
- (210) 520-8338
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401411542 | VA | Primary |
Addresses
Primary practice location
119 SW Loop 410
Ste 109
San Antonio, TX 78245-2107
Mailing address
119 SW Loop 410
Ste 109
San Antonio, TX 78245-2107
Phone (210) 520-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411542 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Workshop San Antonio, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ideal Dental Westover Hills
- Dentist
- San Antonio, TX
- NPI 1376819052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1982760294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SW LOOP 410",
"address_2": "STE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452107",
"telephone_number": "210-520-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SW LOOP 410",
"address_2": "STE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452107",
"telephone_number": "210-520-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCH",
"first_name": "MARGARET",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411542",
"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 Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.