AUTUMN HEIGHTS DENTAL PLLC – NPI #1114644226
Clinic/Center

AUTUMN HEIGHTS DENTAL PLLC is an AHC clinic located in CONVERSE, TX. NPPES has assigned the NPI number 1114644226 to AUTUMN HEIGHTS DENTAL PLLC on October 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 3 years ago on Apr 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTUMN HEIGHTS DENTAL PLLC below.

NPI Profile for
AUTUMN HEIGHTS DENTAL PLLC

NPI Number
1114644226
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUTUMN HEIGHTS DENTAL PLLC
Primary location
7215 N. LOOP 1604 E.
UNIT 102
CONVERSE, TX 78109
Phone: (210) 890-4909 Fax: (210) 890-4809
Mailing address
1311 MULESHOE PASS
SAN ANTONIO, TX 78258-3443
Phone: (210) 890-4909 Fax: (210) 890-4809
Organization Subpart
No
Authorized Official
ESHA SHAH
OWNER
Phone: (213) 440-2132
Updated
Certification Date
Apr 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.