JRV ORTHODONTICS PLLC NPI 1508363698

NPI Information

  • NPI: 1508363698
  • Provider Name: JRV ORTHODONTICS, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SAN ANTONIO ORTHODONTICS
  • Address: 12315 JUDSON RD STE 218
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 656-3531

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NPI Details

JRV ORTHODONTICS, PLLC is a dental clinic center in Live Oak, TX. JRV ORTHODONTICS, PLLC NPI is 1508363698. The provider is registered as an organization entity type.
The provider Is Doing Business As San Antonio Orthodontics.

The provider's business location address is:

12315 JUDSON RD STE 218
LIVE OAK, TX
ZIP 78233-264
Phone: (210) 656-3531

The provider's authorized official is James Vandeberg .
The authorized official title is Owner and has the following contact phone number (210) 902-9122.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 4/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental23213TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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