BANDERA MODERN DENTISTRY, PC
NPI 1184981433
Dentist in San Antonio, TX

Q: What is Bandera Modern Dentistry, PC's NPI number?

The NPI number for Bandera Modern Dentistry, PC is 1184981433. It was assigned to this organization in the NPPES registry on April 11, 2012.

Q: What is Bandera Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 11, 2012

9234 NORTH LOOP 1604 W, SUITE 121, SAN ANTONIO, TX 78249(210) 681-1121(210) 681-1321 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Bandera Modern Dentistry, Pc NPPES

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

BANDERA MODERN DENTISTRY, PC (NPI 1184981433) is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since April 2012. The organization lists John S Barnes, Dds- Owner, as its authorized official.

NPPES Registry Identity

NPI1184981433

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBANDERA MODERN DENTISTRY, PC

Location Address9234 NORTH LOOP 1604 W, SUITE 121San Antonio, TX 78249

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(210) 681-1121

Fax(210) 681-1321

Organization SubpartNo

Authorized OfficialJohn S BarnesDds- Owner · (210) 681-1121

Enumeration DateApril 11, 2012

Last NPPES UpdateJanuary 2, 2014

✔ NPI 1184981433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 12406

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

9234 NORTH LOOP 1604 W, San Antonio, TX 78249

Open in Google Maps ↗

Other Names 1

Doing Business AsBandera Modern Dentistry, Pc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Bandera Modern Dentistry, PC's NPI number?

The NPI number for Bandera Modern Dentistry, PC is 1184981433. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Bandera Modern Dentistry, PC located?

Bandera Modern Dentistry, PC is located at 9234 North Loop 1604 W Suite 121, San Antonio, TX 78249. The listed phone number is (210) 681-1121.

What is Bandera Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Bandera Modern Dentistry, PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Bandera Modern Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bandera Modern Dentistry, PC was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.