Active NPI
Salute Oral and Facial Surgery, PA
- Oral and Maxillofacial Surgery (Dentist)
- Austin, TX
National Provider Identifier
1255521837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 18386
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Henry William Marcantoni, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B18386 | Other | TX | CHIP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Austin, TX
- NPI 1407917800
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.