Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164530564 Deactivated / Inactive NPI Male Practitioner

Dr. John H Douglass , DDS

Dentist • San Antonio, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Douglass has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2006
NPI Deactivation Date June 08, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Douglass, DDS was a registered Dentist practicing in San Antonio, TX. Throughout an active medical career spanning 12 years, Dr. Douglass provided care at the practice location at 21950 BULVERDE RD until profile deactivation on 2018-06-08.

Practice Location & Contact Primary Location

Practice Address

21950 Bulverde Rd
Ste 103

San Antonio, TX 78259

Telephone 2104948850
Fax 2104948852
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
581 Specialists

Practicing in San Antonio, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX TXD11070

A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 08, 2018

Record deactivated on June 08, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21950 BULVERDE RD, STE 103, SAN ANTONIO, TX 78259 (Tel: 2104948850)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21950 BULVERDE RD, STE 103, SAN ANTONIO, TX 78259 (Tel: 2104948850)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DOUGLASS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #TXD11070 in TX)

🟢
Initial NPI Registration & Enumeration August 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Douglass. Be the first to share your experience!

Sign in to leave a review for Dr. John Douglass

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164530564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2006
Last Update: July 08, 2007
Deactivation Date: June 08, 2018

Mailing Address

21950 Bulverde Rd, Ste 103

San Antonio, TX 78259

Phone: 2104948850

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.