Organization Active NPI

Lucent 410 Sa PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1346120169
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUCENT 410 SA PLLC
Practice address
834 NW Loop 410 Ste 110
San Antonio, TX 78216-5604
Phone
(214) 493-1216
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Nina Abtahi
Title
Manager
Phone
(214) 493-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

834 NW Loop 410 Ste 110
San Antonio, TX 78216-5604

Mailing address

834 NW Loop 410 Ste 110
San Antonio, TX 78216-5604
Phone (214) 493-1216

National Provider Directory

National Provider Directory

Locations

834 NW Loop 410
Ste 110
San Antonio, TX 78216

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": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1346120169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 NW LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165604",
            "telephone_number": "214-493-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 NW LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165604",
            "telephone_number": "214-493-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT 410 SA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "ABTAHI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-493-1216"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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 Sep 3, 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.