S. TEXAS ORTHO PLLC (NPI# 1144876194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144876194 |
| Entity Type | Organization |
| Organization Name | S. TEXAS ORTHO PLLC |
| Practice Address |
21970 Bulverde Rd Ste 100 San Antonio TX 78259-2179 |
| Practice Telephone | 2104936067 |
| Mailing Telephone | 2104936067 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | MIKE COLE (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Telephone | 9419553150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7629 Tezel Rd, San Antonio, TX 782503574 | 2105092487 | |
| 3820 Fm 3009 Ste 180, Schertz, TX 781542724 | 2106581778 | |
| 15900 La Cantera Pkwy Ste 20260, San Antonio, TX 782562471 | 2105490383 |
| Street Address |
21970 BULVERDE RD STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78259-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871653899 | Patrick Moore | Dentist | 21970 Bulverde Rd Ste 100, San Antonio, TX 78259-2179 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893448 | Greater Texas Palliative Care Services Pllc | Internal Medicine | 21806 Barton Woods, San Antonio, TX 78259 | 2018-05-31 |
| 1336639467 | Kriti Juneja | Behavioral Analyst | 21303 Encino Cmns Apt No1707, San Antonio, TX 78259 | 2018-05-14 |
| 1699121871 | Jesse Frank Delacruz | Nurse Practitioner | 21103 Simi Valley Drive, San Antonio, TX 78259 | 2016-05-06 |
| 1194139063 | Summer Ashley Kotson | Chiropractor | 2719 Rancho Mirage, San Antonio, TX 78259 | 2014-06-18 |
| 1194166645 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2502 Marshall Rd, San Antonio, TX 78259 | 2013-07-12 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1508156589 | Kiddo Dental Pa | Dentist | 20306 Encino Ledge Ste 106, Kiddo Dental, San Antonio, TX 78259 | 2011-04-12 |
| 1386824217 | Austin Joseph Garrison | Dentist | 22100 Bulverde Rd, Suite 114, San Antonio, TX 78259 | 2007-11-08 |
| 1568584670 | Michael John Norgard | Internal Medicine | 226 Roseheart, San Antonio, TX 78259 | 2007-04-06 |
| 1225178817 | Texas Midwives Group | Midwife | 2211 Tworivers Dr., San Antonio, TX 78259 | 2007-02-06 |
| Find all providers in zip 78259 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138733 | Gabriel Senties Dds Ms Pllc | Dentist | 11153 Westwood Loop Ste 204, San Antonio, TX 78253-6533 | 2020-03-11 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1841765781 | Robert Caesar | Dentist | 18720 Stone Oak Pkwy Ste 207, San Antonio, TX 78258-4151 | 2018-10-08 |
| 1295226967 | Cassandra Clark Campbell | Dentist | 4902 Golden Quail Ste 100, San Antonio, TX 78240-1637 | 2018-05-29 |
| 1841781093 | Kelsey Kraft | Dentist | 11902 Mission Trace St, San Antonio, TX 78230-2124 | 2018-05-23 |
| 1528574886 | Precision Smile Structure South Park | Dentist | 2327 Sw Military Dr Ste 102, San Antonio, TX 78224-1483 | 2017-12-22 |
| 1477079945 | David Gu | Dentist | 14034 Nacogdoches Rd, San Antonio, TX 78247-1929 | 2017-08-16 |
| 1831563741 | Gabriel Senties-ramirez | Dentist | 4025 E Southcross Blvd Ste 1, San Antonio, TX 78222-3640 | 2015-11-17 |
| 1174929459 | U Too Dental | Dentist | 3543 Roosevelt Ave, San Antonio, TX 78214-2832 | 2014-11-13 |
| 1134521214 | Smiletrends | Dentist | 24718 Ellesmere, San Antonio, TX 78257 | 2014-09-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78259 |
Please comment or provide details below to improve the information on S. TEXAS ORTHO PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.