NPIMap

Organization Active NPI

Ryan M Leonhart DDS MD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
National Provider Identifier
1346037454
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RYAN M LEONHART DDS MD PLLC
Doing business as
South Texas Oral Surgery
Practice address
9646 W Loop 1604 N Ste 2101
San Antonio, TX 78254-6437
Phone
(210) 625-7277
Fax
(210) 787-2022
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Jessica Gonzalez
Title
Office Manager
Phone
(210) 625-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

9646 W Loop 1604 N Ste 2101
San Antonio, TX 78254-6437

Mailing address

9646 W Loop 1604 N Ste 2101
San Antonio, TX 78254-6437
Phone (210) 625-7277

Other names 1

  • South Texas Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

9646 W Loop 1604 N
Ste 2101
San Antonio, TX 78254
Phone (210) 625-7277

Practitioners & affiliated clinicians

Practitioners 3

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": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1346037454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 W LOOP 1604 N STE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546437",
            "telephone_number": "210-625-7277",
            "fax_number": "210-787-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 W LOOP 1604 N STE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546437",
            "telephone_number": "210-625-7277",
            "fax_number": "210-787-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M LEONHART DDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-625-7277"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 2025; 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.