Kusom Dental Broadway PLLC
NPI 1265204622 · General Practice Dentistry · San Antonio, TX
Kusom Dental Broadway PLLC is a General Practice Dentistry organization in San Antonio, TX (NPI 1265204622).
Provider details
- NPI number
- 1265204622
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Selinda Gonzalez, Office Manager(210) 888-0700
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-10-27
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Kusom Dental Broadway PLLC's NPI number?
- Kusom Dental Broadway PLLC's National Provider Identifier (NPI) is 1265204622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kusom Dental Broadway PLLC?
- Kusom Dental Broadway PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kusom Dental Broadway PLLC located?
- Kusom Dental Broadway PLLC's practice location on file with NPPES is 8852 Broadway # 201, San Antonio, TX 78217-6318.
- What is Kusom Dental Broadway PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kusom Dental Broadway PLLC is (210) 888-0700.
- Who is the authorized official for Kusom Dental Broadway PLLC?
- The authorized official listed on Kusom Dental Broadway PLLC's NPPES record is Selinda Gonzalez, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kusom Dental Broadway PLLC's NPI active?
- Yes — Kusom Dental Broadway PLLC's NPI (1265204622) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.