OrganizationActive
Sp Administration
NPI 1720526163 · Dentist · San Antonio, TX
Provider details
- NPI number
- 1720526163
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Southpark Family Dental Care
- Organization subpart
- Yes
- Authorized official
- Shiva Izaddoust, Owner(210) 927-1400
- License
- 17028 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
6510 Babcock Rd
Suite 106
San Antonio, TX 78249
Phone: (210) 558-7000
Fax: (210) 558-7001
Street-level locationGet directions
Mailing address
6510 Babcock Rd
San Antonio, TX 78249
Other names (DBA / former)
- Doing business as
- Springtime Family Dental Care
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2017-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.