SAN ANTONIO ORTHODONTIC GROUP
NPI 1154050011
Dentist - General Practice in New Braunfels, TX

Active since June 07, 2022
1583 E COMMON ST STE 205, NEW BRAUNFELS, TX 78130(830) 625-2111 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About San Antonio Orthodontic Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN ANTONIO ORTHODONTIC GROUP (NPI 1154050011) is a healthcare organization registered as a general practice in New Braunfels, Texas and active in the NPI registry since June 2022. The organization lists Gregory Kostelac, Data Analyst, as its authorized official.

NPPES Registry Identity

NPI1154050011
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
Location Address1583 E COMMON ST STE 205New Braunfels, TX 78130-3174
Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600
Organization SubpartNo
Authorized OfficialGregory KostelacData Analyst · (719) 266-2717
Enumeration DateJune 7, 2022
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1154050011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
1583 E COMMON ST STE 205, New Braunfels, TX 78130

Other Names 1

Doing Business AsSan Antonio Orthodontic Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1583 E COMMON ST STE 205
NEW BRAUNFELS, TX 78130
Dentist (General Practice)
1583 E COMMON ST STE 205
NEW BRAUNFELS, TX 78130
Dentist (General Practice)
1583 E COMMON ST STE 205
NEW BRAUNFELS, TX 78130
Dentist (General Practice)
1583 E COMMON ST STE 205
NEW BRAUNFELS, TX 78130
Dentist
1583 E COMMON ST STE 205
NEW BRAUNFELS, TX 78130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texas Dental Orthodontics Practice, PLLC's NPI number?

The NPI number for Texas Dental Orthodontics Practice, PLLC is 1154050011. It was assigned to this organization in the NPPES registry on June 7, 2022. The provider is doing business as San Antonio Orthodontic Group.

Where is Texas Dental Orthodontics Practice, PLLC located?

Texas Dental Orthodontics Practice, PLLC is located at 1583 E Common St Ste 205, New Braunfels, TX 78130. The listed phone number is (830) 625-2111.

What is Texas Dental Orthodontics Practice, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Texas Dental Orthodontics Practice, PLLC was last updated on July 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.