Organization Active NPI

Blanco North Dental

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1316148661
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLANCO NORTH DENTAL
Practice address
14341 Blanco Rd.
San Antonio, TX 78216
Phone
(210) 493-2200
Fax
(210) 493-2448
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Luigi Massa, DDS
Title
Owner
Phone
(210) 493-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14341 Blanco Rd.
San Antonio, TX 78216

Mailing address

14341 Blanco Rd.
San Antonio, TX 78216
Phone (210) 493-2200

National Provider Directory

National Provider Directory

Locations

14341 Blanco Rd
San Antonio, TX 78216
Phone (210) 493-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1316148661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 BLANCO RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-493-2200",
            "fax_number": "210-493-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 BLANCO RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-493-2200",
            "fax_number": "210-493-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO NORTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-493-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 20, 2008; 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.