NPI age
16 years
Enumerated 2010-04-22
● Active Type 2 · Organization
South Texas Periodontal Associates
South Texas Periodontal Associates is 1 of 625 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beck
Owner
Last NPPES update
2010-04-22
Source: monthly bulk 2026-05
How this organization compares
Across 625 active dentist providers in Texas.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
6502 Bandera Rd Ste 102
San Antonio, TX 782381445
Mailing address
6502 Bandera Rd Ste 102
San Antonio, TX 782381445
Authorized official
Brian Wallace Beck
Owner
📞 2106547878
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ivan Edwards, D.O. Physical Medicine & Rehabilitation NPI 1700955176
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.