NPIMap

Organization Active NPI

Bandera Dental

  • Dentist
  • San Antonio, TX
National Provider Identifier
1992874085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14068 Issued in TX
Legal business name
BANDERA DENTAL
Practice address
8428 Bandera Rd
San Antonio, TX 78250-2543
Phone
(210) 681-1500
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Florin Ionescu, D.D.S.
Title
President
Phone
(210) 681-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14068 TX Primary

Addresses

Primary practice location

8428 Bandera Rd
San Antonio, TX 78250-2543

Mailing address

8428 Bandera Rd
San Antonio, TX 78250-2543
Phone (210) 681-1500

National Provider Directory

National Provider Directory
Tax ID family
Bandera Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8428 Bandera Rd
San Antonio, TX 78250
Phone (210) 681-1500

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992874085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502543",
            "telephone_number": "210-681-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502543",
            "telephone_number": "210-681-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IONESCU",
        "authorized_official_first_name": "FLORIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-681-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14068",
            "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 22, 2020; 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.