Active NPI
Micah Asadi, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1366002875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35145
- Practice address
- 25219 US Hwy 281 N
Suite 104
San Antonio, TX 78260 - Phone
- (210) 201-8844
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7190 | OK | |
| General Practice Dentistry | 1223G0001X | 35145 | TX | Primary |
Addresses
Primary practice location
25219 US Hwy 281 N
Suite 104
San Antonio, TX 78260
Mailing address
25219 US Hwy 281 N
Suite 104
San Antonio, TX 78260
Phone (210) 201-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7190 | OK | MD | General Practice Dentistry |
| 35145 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1366002875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25219 US HWY 281 N",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78260",
"telephone_number": "210-201-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25219 US HWY 281 N",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78260",
"telephone_number": "210-201-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASADI",
"first_name": "MICAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2024-10-23",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7190",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Aryan Dental Center PLLC (San Antonio Dental Center)
- Aryan Medical Transportation LLC
- Frank Aryan, DDS
- Maricruz Arzeta-Francisco, FNP-C
- Jennifer Arzola, M.D.
- Taleen Asadourian
- Hassan Asadsangabifard, CPT
- Asaze LLC (Right Path Family Practice)
- ASC Solutions, LLC (Lexington Surgery Center)
- Gisela Ascanio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.