UTHSCSA, DENTAL SCHOOL
NPI 1639508799
Preferred Provider Organization in San Antonio, TX

NPI Status: Active since November 08, 2013

Contact Information

7703 FLOYD CURL DR # 7892
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 567-3389

Get Directions Write a Review

  • Organization
  • Preferred Provider Organization
  • CLIA Number: 45D2058619
  • CLIA Cert. Type: Other - RESEARCH CLINIC
  • CLIA Exp. Date: 05-08-2027

About UTHSCSA, DENTAL SCHOOL

This page provides the complete NPI Profile along with additional information for Uthscsa, Dental School, a provider established in San Antonio, Texas operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1639508799 assigned on November 2013. The practitioner's primary taxonomy code is 305R00000X with license number 97643 (ZZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Fabricio Teixeira (Program Director)

NPI
1639508799
Provider Name
UTHSCSA, DENTAL SCHOOL
Entity Type
Organization
Location Address
7703 FLOYD CURL DR # 7892 SAN ANTONIO, TX 78229
Location Phone
(210) 567-3389
Mailing Address
7703 FLOYD CURL DR # 7892 SAN ANTONIO, TX 78229
Mailing Phone
(210) 567-3389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2013
Last Update Date
11-08-2013
Code Navigator

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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
97643
License State
ZZ
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. FABRICIO TEIXEIRA

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(210) 567-3381

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2058619
Facility Type
Other - RESEARCH CLINIC
Certificate Effective Date
May 09, 2025
Certificate Expiration Date
May 08, 2027
Laboratory Director
ROBERT A. CLARK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Uthscsa, Dental School to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UTHSCSA, DENTAL SCHOOL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1639508799
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266910016718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 0 + 1 + 6 + 7 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639508799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. GAUTAM SHIRODKAR BDS MS

Dentist

7703 FLOYD CURL DR # 7892
SAN ANTONIO, TX
ZIP 78229

(210) 567-3381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639508799, enumerated as an "organization" on November 08, 2013.

The provider is located at 7703 FLOYD CURL DR # 7892 SAN ANTONIO, TX 78229 and the phone number is (210) 567-3389.

Preferred Provider Organization with taxonomy code 305R00000X.