MY LOCAL TEXAS DENTAL PRACTICE, PLLC
NPI 1215697073
Dentist - General Practice in San Antonio, TX

NPI Status: Active since December 21, 2021

Contact Information

17230 AUTRY POND RD STE 115
SAN ANTONIO, TX
ZIP 78247
Phone: (210) 396-7667

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About MY LOCAL TEXAS DENTAL PRACTICE, PLLC

This page provides the complete NPI Profile along with additional information for My Local Texas Dental Practice, Pllc, a provider established in San Antonio, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1215697073 assigned on December 2021. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. My Local Texas Dental Practice, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Gregory Kostelac (Credentialing Specialist)

NPI
1215697073
Provider Name
MY LOCAL TEXAS DENTAL PRACTICE, PLLC
Entity Type
Organization
Location Address
17230 AUTRY POND RD STE 115 SAN ANTONIO, TX 78247
Location Phone
(210) 396-7667
Mailing Address
6110 BARNES RD COLORADO SPRINGS, CO 80922
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-21-2021
Last Update Date
12-21-2021
Code Navigator

A dentist like My Local Texas Dental Practice, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY KOSTELAC

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(719) 372-5605

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215697073
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222512914014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 9 + 1 + 4 + 0 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1215697073 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093457012TEXAS DENTAL SPECIALIST PRACTICE, PLLC
Organization
Dentist (General Practice)17230 AUTRY POND RD STE 115
SAN ANTONIO, TX 78247
(210) 396-7667

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215697073, enumerated in the NPI registry as an "organization" on December 21, 2021

The provider is located at 17230 Autry Pond Rd Ste 115 San Antonio, Tx 78247 and the phone number is (210) 396-7667

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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