DENTAL OFFICE
NPI 1750409686
Clinic/Center in San Antonio, TX

NPI Status: Active since March 27, 2007

Contact Information

600 DIVISION AVE
SUITE A
SAN ANTONIO, TX
ZIP 78214
Phone: (210) 342-2000
Fax: (210) 342-2517

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About DENTAL OFFICE

This page provides the complete NPI Profile along with additional information for Dental Office, a provider established in San Antonio, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750409686 assigned on March 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 20173 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Dental Office. The authorized official of this NPI record is Ms. Barbara Mata (Office Manager)

NPI
1750409686
Provider Legal Name
PAN AM DENTAL LP
Other Organization Name
DENTAL OFFICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
600 DIVISION AVE SUITE A SAN ANTONIO, TX 78214
Location Phone
(210) 342-2000
Location Fax
(210) 342-2517
Mailing Address
8261 FREDERICKSBURG RD SAN ANTONIO, TX 78229
Mailing Phone
(210) 924-7277
Mailing Fax
(210) 342-2517
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
04-25-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
20173
License State
TX
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

20176 (TX)

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MS. BARBARA MATA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(210) 342-2000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
155832201MEDICAID (05)TX 

Reviews for DENTAL OFFICE

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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.
1750409686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008018616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 8 + 6 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750409686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720162779DR. JOHN ANDREW JACKSON D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)600 DIVISION AVE SUITE E.
SAN ANTONIO, TX 78214
(210) 924-4279
1104049832DR. JESUS PERALEZ JR. DDS
Individual
Dentist (General Practice)600 DIVISION AVE
SAN ANTONIO, TX 78214
(210) 924-7277
1699925560ALMA L. AGUADO, M.D., P.A.
Organization
Internal Medicine600 DIVISION AVE SUITE G
SAN ANTONIO, TX 78214
(210) 924-6649
1225335839 KARISHMA PATEL YAKKALA D.C.
Individual
Chiropractor600 DIVISION AVE SUITE G
SAN ANTONIO, TX 78214
(210) 332-9005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750409686, enumerated in the NPI registry as an "organization" on March 27, 2007

The provider is located at 600 Division Ave Suite A San Antonio, Tx 78214 and the phone number is (210) 342-2000

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. 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 March 27, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.