Premier Dental-San Antonio, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22462 Issued in TX

Legal business name

PREMIER DENTAL-SAN ANTONIO, PLLC

Practice address

21950 Bulverde Rd
#103
San Antonio, TX 78259-2144

Phone

(210) 494-8850

NPI assigned

Feb 24, 2017

Last updated

Feb 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luigi Massa, DDS

Title

Owner

Phone

(210) 494-8850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1487194486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21950 BULVERDE RD #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "210-494-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21950 BULVERDE RD",
            "address_2": "#103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592144",
            "telephone_number": "210-494-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL-SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-494-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.