Provider Demographics
NPI:1356319321
Name:ROMINGER, JAMES WHITNEY (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WHITNEY
Last Name:ROMINGER
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
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Mailing Address - Street 1:4499 MEDICAL DRIVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-614-3915
Mailing Address - Fax:210-614-3918
Practice Address - Street 1:4499 MEDICAL DR
Practice Address - Street 2:SUITE 190
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-614-3915
Practice Address - Fax:210-614-3918
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ22851223S0112X, 1223G0001X, 1223P0106X, 1223X0008X
TXD149841223S0112X, 1223G0001X, 1223P0106X, 1223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
No1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079997502Medicaid
TX079997501Medicaid
TX079997502Medicaid