CITY BASE PEDIATRIC DENTISTRY, PLLC
NPI 1427652932
Dentist - Pediatric Dentistry in San Antonio, TX

Active since November 24, 2020
2302 SE MILITARY DR STE 101, SAN ANTONIO, TX 78223(830) 772-5600 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About City Base Pediatric Dentistry, Pllc NPPES

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

CITY BASE PEDIATRIC DENTISTRY, PLLC (NPI 1427652932) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since November 2020. The organization lists Joanna Ayala, Owner, as its authorized official.

NPPES Registry Identity

NPI1427652932
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCITY BASE PEDIATRIC DENTISTRY, PLLC
Location Address2302 SE MILITARY DR STE 101San Antonio, TX 78223-3586
Mailing AddressPo Box 356Lytle, TX 78052-0356 · (956) 725-3100
Organization SubpartNo
Authorized OfficialJoanna AyalaOwner · (830) 772-5600
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1427652932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2302 SE MILITARY DR STE 101, San Antonio, TX 78223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 City Base Pediatric Dentistry, PLLC's NPI number?

The NPI number for City Base Pediatric Dentistry, PLLC is 1427652932. It was assigned to this organization in the NPPES registry on November 24, 2020.

Where is City Base Pediatric Dentistry, PLLC located?

City Base Pediatric Dentistry, PLLC is located at 2302 SE Military Dr Ste 101, San Antonio, TX 78223. The listed phone number is (830) 772-5600.

What is City Base Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for City Base Pediatric Dentistry, PLLC was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.