Individual provider Active NPI

Emanuel Florian Dehelean, DMD

  • Dentist
  • San Antonio, TX
National Provider Identifier
1073589131
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0022549 Issued in TX
Practice address
Mason Dental Center
4455 Harry Wurzbach
San Antonio, TX 78209
Phone
(210) 822-4664
Fax
(210) 822-4878
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0022549 TX Primary
General Practice Dentistry 1223G0001X 0022549 TX

Addresses

Primary practice location

Mason Dental Center
4455 Harry Wurzbach
San Antonio, TX 78209

Mailing address

4719 Camino Dorado Dr
Ste 2
San Antonio, TX 78233-6357
Phone (210) 656-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000062 TX Order and Referring Only - DentistPractitioner - Dentist 5193014108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0022549TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Travis a McAlister DDS PLLC General Practice PastSince Aug 4, 2024 Accepting new patients
Mason Dental Center PA General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1073589131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 CAMINO DORADO DR",
            "address_2": "STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336357",
            "telephone_number": "210-656-4699",
            "fax_number": "210-656-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASON DENTAL CENTER",
            "address_2": "4455 HARRY WURZBACH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-822-4664",
            "fax_number": "210-822-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHELEAN",
        "first_name": "EMANUEL",
        "middle_name": "FLORIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0022549",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0022549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.