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SOUTH PARK FAMILY DENTAL CARE PA
NPI 1467586768
Clinic/Center - Dental in San Antonio, TX

Active since March 16, 2007
2310 SW MILITARY DR, STE 406, SAN ANTONIO, TX 78224(210) 927-1400(210) 927-6330 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Park Family Dental Care Pa NPPES

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

SOUTH PARK FAMILY DENTAL CARE PA (NPI 1467586768) is a healthcare organization registered as a dental in San Antonio, Texas and active in the NPI registry since March 2007. The organization lists Shiva Izaddoust, President, as its authorized official.

NPPES Registry Identity

NPI1467586768
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTH PARK FAMILY DENTAL CARE PA
Location Address2310 SW MILITARY DR, STE 406San Antonio, TX 78224-1407
Mailing Address2310 Sw Military Dr, Ste 406San Antonio, TX 78224-1407 · (210) 927-1400 · Fax (210) 927-6330
Phone(210) 927-1400
Fax(210) 927-6330
Organization SubpartNo
Authorized OfficialShiva IzaddoustPresident · (210) 927-1400
Enumeration DateMarch 16, 2007
Last NPPES UpdateMay 24, 2011
✔ NPI 1467586768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2310 SW MILITARY DR, San Antonio, TX 78224
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Other Identifiers 4

Medicaid0099152-01TX
OtherG60126-3TX · Texas Chip
Other0064GJTX · Blue Cross Blue Shield
Other1300537TX · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 13

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

EUGENE O ALVARADO O.D.
Optometrist
2310 SW MILITARY DR, SUITE 501
SAN ANTONIO, TX 78224
Bexar County (210) 922-1163
DR. LINDA JEAN BRAUN O.D.
Optometrist
2310 SW MILITARY DR, 432
SAN ANTONIO, TX 78224
Bexar County (210) 922-8695
DR. BRENDA A ALVARADO O.D.
Optometrist
2310 SW MILITARY DR, STE. 501
SAN ANTONIO, TX 78224
Bexar County (210) 922-1163
ALI BACK & BODY INC
Chiropractor
2310 SW MILITARY DR, NO. 404
SAN ANTONIO, TX 78224
Bexar County (210) 927-2095
DR. VESTA BROUMAND-MIZANI D.D.S.
Dentist (General Practice)
2310 SW MILITARY DR, SUITE #406
SAN ANTONIO, TX 78224
Bexar County (210) 927-1400
C & C HEARING CLINICS, INC.
Hearing Instrument Specialist
2310 SW MILITARY DR
SAN ANTONIO, TX 78224
Bexar County (210) 655-0500
DR. SHIVA IZADDOUST D.D.S.
Dentist (General Practice)
2310 SW MILITARY DR, SUITE 406
SAN ANTONIO, TX 78224
Bexar County (210) 927-1400
SUHAIL DARAISEH DC
Chiropractor
2310 SW MILITARY DR, SUITE 402
SAN ANTONIO, TX 78224
Bexar County (210) 927-2095

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 South Park Family Dental Care PA's NPI number?

The NPI number for South Park Family Dental Care PA is 1467586768. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is South Park Family Dental Care PA located?

South Park Family Dental Care PA is located at 2310 SW Military Dr Ste 406, San Antonio, TX 78224. The listed phone number is (210) 927-1400.

What is South Park Family Dental Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does South Park Family Dental Care PA accept?

Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list South Park Family Dental Care PA 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 South Park Family Dental Care PA was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.