Organization Active NPI

Primo Dental PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1013748318
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRIMO DENTAL PLLC
Practice address
515 Saint James Ste 515
San Antonio, TX 78202-2355
Phone
(210) 968-0515
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Khushbu Malhotra, DMD
Title
Manager
Phone
(617) 834-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

515 Saint James Ste 515
San Antonio, TX 78202-2355

Mailing address

10615 Ysamy Way
San Antonio, TX 78213-1659

Other names 1

  • PRIMO DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

515 Saint James
Ste 515
San Antonio, TX 78202
Phone (210) 968-0515

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1013748318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 YSAMY WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SAINT JAMES STE 515",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022355",
            "telephone_number": "210-968-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "KHUSHBU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-834-4646",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMO DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.