NPI age
19 years
Enumerated 2007-03-27
● Active Type 2 · Organization
Pan Am Dental Lp
Pan Am Dental Lp is 1 of 1927 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mata
Office Manager
Last NPPES update
2012-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 1927 active clinic/center providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
600 Division Ave, Suite A
San Antonio, TX 782141350
Mailing address
8261 Fredericksburg Rd
San Antonio, TX 782293357
Authorized official
Barbara Mata
Office Manager
📞 2103422000
Individual providers at this organization
3 individual providers on file at this primary practice address.
- John Jackson, D.D.S. Dentist NPI 1720162779
- Jesus Peralez, DDS Dentist NPI 1104049832
- Karishma Yakkala, D.C. Chiropractor NPI 1225335839
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155832201 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dental Office
Practice context
Multi-provider organization. 3 individual providers 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.