OrganizationActive
San Angelo Endodontics, PC
NPI 1174081301 · Endodontics · San Angelo, TX
San Angelo Endodontics, PC is a Endodontics organization in San Angelo, TX (NPI 1174081301).
Provider details
- NPI number
- 1174081301
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Chad Southard, Administrator(806) 797-4455
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2014 W Beauregard Ave
San Angelo, TX 76901-3813
Phone: (325) 947-3040
Fax: (806) 797-2460
Street-level locationGet directions
Mailing address
2014 W Beauregard Ave
San Angelo, TX 76901-3813
Other names (DBA / former)
- Doing business as
- Concho Valley Endodontics
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Frequently asked questions
- What is San Angelo Endodontics, PC's NPI number?
- San Angelo Endodontics, PC's National Provider Identifier (NPI) is 1174081301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Angelo Endodontics, PC?
- San Angelo Endodontics, PC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is San Angelo Endodontics, PC located?
- San Angelo Endodontics, PC's practice location on file with NPPES is 2014 W Beauregard Ave, San Angelo, TX 76901-3813.
- What is San Angelo Endodontics, PC's phone number?
- The practice phone number listed in the NPPES registry for San Angelo Endodontics, PC is (325) 947-3040.
- Who is the authorized official for San Angelo Endodontics, PC?
- The authorized official listed on San Angelo Endodontics, PC's NPPES record is Chad Southard, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Angelo Endodontics, PC's NPI active?
- Yes — San Angelo Endodontics, PC's NPI (1174081301) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.