SOUTHSIDE CHILDRENSA DENTAL CENTER
SOUTHSIDE CHILDRENSA DENTAL CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1396174900, based in San Antonio, TX. The organization lists 2 taxonomy classifications, with Orthodontics and Dentofacial Orthopedics Dentistry recorded as primary.
Getting there
The practice address on file is 125 SW MILITARY DR, San Antonio, TX 78221. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 27696 | CA | Orthodontics and Dentofacial Orthopedics… primary |
| 14060 | TX | Pediatric Dentistry |
| 23705 | WI | Pediatric Dentistry |
| 25239 | PA | Pediatric Dentistry |
Licences are recorded in 4 states: CA, TX, WI, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 4 states
This provider holds licences in 4 states: California, Pennsylvania, Texas and Wisconsin. The practice address on file is in San Antonio, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthodontics and Dentofacial Orthopedics covers
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. NUCC Health Care Provider Taxonomy, code 1223X0400X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | 27696 | CA | primary |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 14060 | TX | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 23705 | WI | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 25239 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1396174900 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 4, 2013 |
| Last updated | Nov 4, 2013 |
| Status | Active |
| Practice address |
125 SW MILITARY DR San Antonio, TX 78221 (210) 922-3483 |
| Other identifiers |
009833701
· Medicaid (TX) 209944201 · Medicaid (TX) 204974401 · Medicaid (TX) 2882862 · Medicaid (TX) 126722102 · Medicaid (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 1 | 7 | 4 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 2 | 7 | 8 | 9 | 0 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.