DR. CARLOS PORTALES (NPI# 1770530081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530081 |
| Entity Type | Individual |
| Full Name | DR. CARLOS PORTALES |
| Credential | D.D.S. |
| Practice Address |
2803 Mossrock Ste. 102 San Antonio TX 78230-5121 |
| Mailing Address |
2803 Mossrock San Antonio TX 78230-5131 |
| Practice Telephone | 2103493161 |
| Practice Fax Number | 2103493825 |
| Mailing Telephone | 2103493161 |
| Mailing Fax Number | 2103493825 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
07535 | TX | Dental Providers |
| Street Address |
2803 MOSSROCK STE. 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760648869 | Don Test IIi, D.d.s., Inc. | Dentist | 2803 Mossrock, Ste. 102, San Antonio, TX 78230-5121 | 2008-07-29 |
| 1205999018 | Scott Stephen Heying | Dentist | 2803 Mossrock, Suite 101, San Antonio, TX 78230-5121 | 2006-12-19 |
| 1891870408 | Robert Louis Rodriguez | Dentist | 2803 Mossrock, Ste 203, San Antonio, TX 78230-5121 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1023596061 | Albert L. Ouellette, Dds, Pllc | Dentist | 1202 E Sonterra Blvd Ste 801, San Antonio, TX 78258-4095 | 2018-08-01 |
| 1154726131 | Rafael Antonio Gavilanes | Dentist | 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 | 2014-11-03 |
| 1952710949 | Ryan M Leonhart Dds Md Pllc | Dentist | 6530 W Loop 1604 N, Suite 101, San Antonio, TX 78254-6319 | 2014-08-05 |
| 1023424090 | Jabir Alhumaid | Dentist | 7703 Floyd Curl Dr # Mc7908, Oral and Maxillofacial Surgery Uthscsa, San Antonio, TX 78229-3901 | 2014-07-10 |
| 1013292614 | Glen A Fritz | Dentist | 16789 N Us Highway 281, Your Ortho Team, PC, San Antonio, TX 78232-2349 | 2011-10-14 |
| 1699065383 | Patricia E. Lopez | Dentist | 7703 Floyd Drive - Dept. Oral & Maxillofacial Surgery, University of Texas Health Science Center At San Antoni, San Antonio, TX 78229-3900 | 2011-04-14 |
| 1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
| 1508097817 | Daniel Enrique Perez | Dentist | 8210 Floyd Curl Dr Dept Oral, San Antonio, TX 78229-3923 | 2009-08-04 |
| 1871787291 | Adam Joseph Verrett | Dentist | 4499 Medical Dr Ste 190, San Antonio, TX 78229-3768 | 2007-08-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on DR. CARLOS PORTALES.
| 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.