Alta Vista Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALTA VISTA DENTISTRY PLLC

Practice address

405 W Gramercy PL
San Antonio, TX 78212-2827

Phone

(210) 734-6556

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Mooney

Title

Practice Manager

Phone

(210) 734-6556

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Eugene Navey, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1194830778
  NPD (past)

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1053136432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GRAMERCY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122827",
            "telephone_number": "210-734-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAMERCY PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122827",
            "telephone_number": "210-734-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA VISTA DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-734-6556"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fay Alspaugh, FNP-BC
• Alston Pain Solutions, PLLC
• Alexandra Alston, COTA
• Michele Frances Alston
• Alta Physicians Management LLC
• Alta Vista Healthcare Center
• Alta Vista Healthcare, LP
• Alta Wellness LLC (Foot Solutions)
• Alta Wellness LLC
• Altacare Medical, Inc.

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.