Active NPI
Leen Qutachi, DDS
- Dentist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37229
- Practice address
- 8610 Potranco Rd Ste 210
San Antonio, TX 78251-3034 - Phone
- (210) 585-4123
- NPI assigned
- Jul 8, 2018
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416150 | VA | |
| Dentist | 122300000X | D010251 | AZ | |
| Dentist | 122300000X | 37229 | TX | Primary |
Addresses
Primary practice location
8610 Potranco Rd Ste 210
San Antonio, TX 78251-3034
Mailing address
7907 Needle CRK
San Antonio, TX 78249-4369
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 |
|---|---|---|---|
| D010251 | AZ | MD | Dentist |
| 37229 | TX | MD | Dentist |
| 0401416150 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andbraces, PLLC | Current | Accepting new patients | |
| Emory Dentistry PLLC | Current | Accepting new patients | |
| Potranco Dental and Braces PLLC | Current | Accepting new patients | |
| Detailed Dental, PLLC | General Practice | Past | Accepting new patients |
| Modern Dental Professionals Az, PC | General Practice | Past | Accepting new patients |
Locations
2113 W Loop 1604 S
Ste 207
San Antonio, TX 78245
Phone (210) 750-1087
8610 Potranco Rd
Ste 210
San Antonio, TX 78251
Phone (210) 568-9800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1508676701
-
dba Potranco Dental & Braces
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
- NPI 1487546016
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1730844770
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1013292234
-
dba Brightnow Christown Spectrum
- General Practice Dentistry
- Chandler, AZ
- NPI 1376814012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1083100564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7907 NEEDLE CRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 POTRANCO RD STE 210",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782513034",
"telephone_number": "210-585-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUTACHI",
"first_name": "LEEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416150",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010251",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37229",
"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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.