Active NPI
Scott Kees Alexander Leune
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1023190352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22472
- Practice address
- 9902 Potranco Rd
Suite 109
San Antonio, TX 78251-9609 - Phone
- (210) 520-3400
- Fax
- (210) 520-3424
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22472 | TX | Primary |
Addresses
Primary practice location
9902 Potranco Rd
Suite 109
San Antonio, TX 78251-9609
Mailing address
9902 Potranco Rd
Suite 109
San Antonio, TX 78251-9609
Phone (210) 520-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22472 | Other | TX | STATE LICENSE |
| A0142956 | Other | TX | DPS # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22472 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates of Texas, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023190352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 POTRANCO RD",
"address_2": "SUITE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782519609",
"telephone_number": "210-520-3400",
"fax_number": "210-520-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 POTRANCO RD",
"address_2": "SUITE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782519609",
"telephone_number": "210-520-3400",
"fax_number": "210-520-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNE",
"first_name": "SCOTT",
"middle_name": "KEES ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "22472",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS #",
"identifier": "A0142956",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.