CAPTAIN KIDS DENTAL, PLLC
NPI 1992257133
Dentist - Pediatric Dentistry in San Antonio, TX

Q: What is Captain Kids Dental, PLLC's NPI number?

The NPI number for Captain Kids Dental, PLLC is 1992257133. It was assigned to this organization in the NPPES registry on November 3, 2016.

Q: What is Captain Kids Dental, PLLC's specialty?

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

Active since November 03, 2016

17006 SAN PEDRO AVE, SAN ANTONIO, TX 78232(830) 772-4200 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Captain Kids Dental, Pllc NPPES

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

CAPTAIN KIDS DENTAL, PLLC (NPI 1992257133) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since November 2016. The organization lists Joanna Ayala, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1992257133

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCAPTAIN KIDS DENTAL, PLLC

Location Address17006 SAN PEDRO AVESan Antonio, TX 78232-2231

Mailing AddressPo Box 356Lytle, TX 78052-0356

Phone(830) 772-4200

Organization SubpartNo

Authorized OfficialJoanna AyalaManaging Member · (210) 632-4560

Enumeration DateNovember 3, 2016

✔ NPI 1992257133 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.

17006 SAN PEDRO AVE, San Antonio, TX 78232

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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

Other Providers at the Same Location NPPES 2

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

DR. WILLLIAM SCOTT BATES DDS, MSD

Dentist

17006 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Bexar County (210) 494-4606

DR. ERIC CHRISTOPHER SCHATZ D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

17006 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Bexar County (210) 494-4606

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 Captain Kids Dental, PLLC's NPI number?

The NPI number for Captain Kids Dental, PLLC is 1992257133. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Captain Kids Dental, PLLC located?

Captain Kids Dental, PLLC is located at 17006 San Pedro Ave, San Antonio, TX 78232. The listed phone number is (830) 772-4200.

What is Captain Kids Dental, 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 Captain Kids Dental, PLLC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.