NPI age
9 years
Enumerated 2017-02-06
● Active Type 2 · Organization
Subpart
Sp Administration
Sp Administration is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Izaddoust
Owner
Last NPPES update
2017-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
9 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
6510 Babcock Rd, Suite 106
San Antonio, TX 78249
Mailing address
6510 Babcock Rd, Suite # 106
San Antonio, TX 78249
Authorized official
Shiva Izaddoust, D.D.S.
Owner
📞 2109271400
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 136343411 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SPRINGTIME FAMILY DENTAL CARE
Practice context
Single-site organization. Only one practice location on file.
Subpart of Southpark Family Dental Care.
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Request a quote →How to verify this organization
- 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.