Organization Active NPI

Salute Oral and Facial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
National Provider Identifier
1255521837
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18386 Issued in TX
Legal business name
SALUTE ORAL AND FACIAL SURGERY, PA
Practice address
10801 N Mopac Expy
BLDG. 2 Ste. 130
Austin, TX 78759-5459
Phone
(512) 372-6230
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Mr. Henry William Marcantoni, DDSNPI 1407917800
Title
Owner/Surgeon
Phone
(512) 372-6230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18386 TX Primary

Addresses

Primary practice location

10801 N Mopac Expy
BLDG. 2 Ste. 130
Austin, TX 78759-5459

Mailing address

10801 N. Mopac
BLDG. 2 Ste. 130
Austin, TX 78759
Phone (512) 372-6230

Other identifiers 1

IdentifierTypeStateIssuer
B18386OtherTXCHIP

National Provider Directory

National Provider Directory

Locations

10801 N Mopac Expy
Bldg 2-130
Austin, TX 78759

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1255521837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N. MOPAC",
            "address_2": "BLDG. 2 STE. 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-372-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MOPAC EXPY",
            "address_2": "BLDG. 2 STE. 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595459",
            "telephone_number": "512-372-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTE ORAL AND FACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "MARCANTONI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "512-372-6230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "B18386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.