OrganizationActive
Broadway Pediatric Dentistry, PLLC
NPI 1962159400 · Pediatric Dentistry · San Antonio, TX
Broadway Pediatric Dentistry, PLLC is a Pediatric Dentistry organization in San Antonio, TX (NPI 1962159400).
Provider details
- NPI number
- 1962159400
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joanna Ayala, Owner(121) 063-2456
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3006 Broadway Ste 103
San Antonio, TX 78209-1561
Phone: (210) 225-8888
Street-level locationGet directions
Mailing address
Po Box 356
Lytle, TX 78052-0356
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2022-03-04
- Certified
- 2022-03-04
Frequently asked questions
- What is Broadway Pediatric Dentistry, PLLC's NPI number?
- Broadway Pediatric Dentistry, PLLC's National Provider Identifier (NPI) is 1962159400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Pediatric Dentistry, PLLC?
- Broadway Pediatric Dentistry, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Broadway Pediatric Dentistry, PLLC located?
- Broadway Pediatric Dentistry, PLLC's practice location on file with NPPES is 3006 Broadway Ste 103, San Antonio, TX 78209-1561.
- What is Broadway Pediatric Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Pediatric Dentistry, PLLC is (210) 225-8888.
- Who is the authorized official for Broadway Pediatric Dentistry, PLLC?
- The authorized official listed on Broadway Pediatric Dentistry, PLLC's NPPES record is Joanna Ayala, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Pediatric Dentistry, PLLC's NPI active?
- Yes — Broadway Pediatric Dentistry, PLLC's NPI (1962159400) is active in the NPPES registry as of the last update on 2022-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.