Active NPI
Matthew Robert Torres, MD, DDS
- Oral and Maxillofacial Surgery (Dentist)
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 39834
- Practice address
- 4499 Medical Dr Ste 190
San Antonio, TX 78229-3768 - Phone
- (210) 614-3915
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 39834 | TX | Primary |
Addresses
Primary practice location
4499 Medical Dr Ste 190
San Antonio, TX 78229-3768
Mailing address
4499 Medical Dr Ste 190
San Antonio, TX 78229-3768
Phone (210) 614-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2023 through Oct 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39834 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Oral Surgery - El Paso, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Alamo Maxillofacial Surgical Associates, PA | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
134 Menger Spgs
Ste 1200
Boerne, TX 78006
Phone (830) 815-2480
7878 Gateway Blvd E
Ste 301
El Paso, TX 79915
Phone (361) 992-3873
4499 Medical Dr
Ste 190
San Antonio, TX 78229
Phone (210) 614-3915
4499 Medical Dr
#3190
San Antonio, TX 78229
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- San Antonio, TX
- NPI 1417006065
-
- Oral and Maxillofacial Surgery (Dentist)
- El Paso, TX
- NPI 1245047968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1073928859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR STE 190",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293768",
"telephone_number": "210-614-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR STE 190",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293768",
"telephone_number": "210-614-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"credential": "MD, DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "39834",
"primary": true
}
],
"identifiers": [],
"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 Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.