Individual provider Active NPI

Leo Luis Figueroa, D.D.S.

  • General Practice Dentistry
  • Alamo, TX
National Provider Identifier
1003165994
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14748 Issued in TX
Practice address
725 N Tower Rd
Suite a
Alamo, TX 78516-3704
Phone
(956) 787-4337
Fax
(956) 787-0200
NPI assigned
Sep 6, 2012
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14748 TX
General Practice Dentistry 1223G0001X 14748 TX Primary

Addresses

Primary practice location

725 N Tower Rd
Suite a
Alamo, TX 78516-3704

Mailing address

725 N Tower Rd
Suite a
Alamo, TX 78516-3704
Phone (956) 787-4337

Other identifiers 1

IdentifierTypeStateIssuer
090908703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14748TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Dental Center PA General Practice Past Accepting new patients
The Smile Clinic, PLLC Dentist PastSince Apr 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1003165994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N TOWER RD",
            "address_2": "SUITE A",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163704",
            "telephone_number": "956-787-4337",
            "fax_number": "956-787-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N TOWER RD",
            "address_2": "SUITE A",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163704",
            "telephone_number": "956-787-4337",
            "fax_number": "956-787-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "LEO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14748",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090908703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.