Ksenia Leonidovna Royal-Priest, DMD, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33317 Issued in TX

Practice address

10730 Potranco Rd Ste 111
San Antonio, TX 78251-3330

Phone

(210) 495-2000

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Braun 7To7 PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1417622432
  NPD (past)
• SC Shine PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1356527949
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1659895316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549716",
            "telephone_number": "210-495-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-495-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL-PRIEST",
        "first_name": "KSENIA",
        "middle_name": "LEONIDOVNA",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy R. Gonzalez,DDS,MSD,PA
• Deva Odale Roy, MA
• Patricia Ann Roy, FNP
• Sandeep Roy, PH.D.
• Royal Suntomed Medical Group
• Paul Michalovich Royal-Priest
• Nikala Diana Royal, PHARMD
• Traci Peters Royal, OTR
• Donald R Royall, M.D.
• Linda Jean Royall, M.D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.