NPIMap

Organization Active NPI

Primway Dental, PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1457995078
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRIMWAY DENTAL, PLLC
Practice address
11345 Alamo Ranch Pkwy Ste 202
San Antonio, TX 78253-6442
Phone
(210) 688-9190
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Adepeju Igun, DDS
Title
Owner/Dentist
Phone
(210) 685-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11345 Alamo Ranch Pkwy Ste 202
San Antonio, TX 78253-6442

Mailing address

16118 Seekers St
San Antonio, TX 78255-3311
Phone (210) 685-7420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1457995078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16118 SEEKERS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553311",
            "telephone_number": "210-685-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536442",
            "telephone_number": "210-688-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMWAY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "IGUN",
        "authorized_official_first_name": "ADEPEJU",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-685-7420",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Nov 6, 2019; 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.