Dana L. Reiss, MD, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

L0538 Issued in TX

Legal business name

DANA L. REISS, MD, PLLC

Doing business as

Surgical Consultants of San Antonio

Practice address

9150 Huebner Rd
250
San Antonio, TX 78240-1558

Phone

(210) 614-9210

Fax

(210) 614-6859

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Burchett

Title

Provider Realtions

Phone

(210) 508-6214

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Surgical Consultants of San Antonio Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Dana L Reiss MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgical Consultants of San Antonio

  • Specialist
  • San Antonio, TX
  • NPI 1295140192
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana L Reiss, M.D

  • Specialist
  • San Antonio, TX
  • NPI 1760470066
  Medicare reassignment NPD

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1578973863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD",
            "address_2": "250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-614-9210",
            "fax_number": "210-614-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD",
            "address_2": "250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-614-9210",
            "fax_number": "210-614-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA L. REISS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PROVIDER REALTIONS",
        "authorized_official_telephone_number": "210-508-6214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L0538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047479302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Consultants of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Damon
• William Lee Damon
• Joseph Dominic Damore, LPTA
• Connor Anderson Damron
• Dan Pham, DDS, PLLC (Pham Family Dentistry)
• Arden Dana, LCSW
• Murphy Danahy
• Brook Alicia Danboise, MD
• Deanna Dance-Kwan, M.D.
• Jane Young Dancer, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.