South Park Family Dental Care PA
NPI 1467586768 · Dental Clinic/Center · San Antonio, TX
South Park Family Dental Care PA is a Dental Clinic/Center organization in San Antonio, TX (NPI 1467586768).
Provider details
- NPI number
- 1467586768
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shiva Izaddoust, President(210) 927-1400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-03-16
- Last updated
- 2011-05-24
Frequently asked questions
- What is South Park Family Dental Care PA's NPI number?
- South Park Family Dental Care PA's National Provider Identifier (NPI) is 1467586768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Park Family Dental Care PA?
- South Park Family Dental Care PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Park Family Dental Care PA located?
- South Park Family Dental Care PA's practice location on file with NPPES is 2310 Sw Military Dr, San Antonio, TX 78224-1407.
- What is South Park Family Dental Care PA's phone number?
- The practice phone number listed in the NPPES registry for South Park Family Dental Care PA is (210) 927-1400.
- Who is the authorized official for South Park Family Dental Care PA?
- The authorized official listed on South Park Family Dental Care PA's NPPES record is Shiva Izaddoust, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Park Family Dental Care PA's NPI active?
- Yes — South Park Family Dental Care PA's NPI (1467586768) is active in the NPPES registry as of the last update on 2011-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.