NPIMap

Organization Active NPI

Moya Family Dentistry Inc

Doing business as Moya Family Dentistry

  • Dentist
  • San Antonio, TX
National Provider Identifier
1477740611
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20527 Issued in TX
Legal business name
MOYA FAMILY DENTISTRY INC
Doing business as
Moya Family Dentistry
Practice address
3630 SE Military Dr
114
San Antonio, TX 78223
Phone
(210) 337-6834
Fax
(210) 337-6551
NPI assigned
Oct 2, 2007
Last updated
Jul 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Dr. Leonardo Moya II, D.D.S.NPI 1306812284
Title
President
Phone
(210) 337-6834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20527 TX Primary

Addresses

Primary practice location

3630 SE Military Dr
114
San Antonio, TX 78223

Mailing address

3630 SE Military Dr
114
San Antonio, TX 78223
Phone (210) 337-6834

Other identifiers 1

IdentifierTypeStateIssuer
188970101MedicaidTX

Other names 1

  • Moya Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3630 SE Military Dr
Ste 114
San Antonio, TX 78223
Phone (210) 337-6834

Practitioners & affiliated clinicians

Practitioners 2

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1477740611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SE MILITARY DR",
            "address_2": "114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-337-6834",
            "fax_number": "210-337-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SE MILITARY DR",
            "address_2": "114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-337-6834",
            "fax_number": "210-337-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYA FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-337-6834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188970101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moya Family Dentistry",
            "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 Jul 22, 2016; 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.