Macy Renee Littler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39279 Issued in TX

Practice address

12710 W Interstate 10 Ste 120
San Antonio, TX 78230-1002

Phone

(210) 836-9920

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1669048443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 W IH 10 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301002",
            "telephone_number": "903-280-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 W INTERSTATE 10 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301002",
            "telephone_number": "210-836-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLER",
        "first_name": "MACY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39279",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Littlefield, M.D.
• Joaquin V Littlejohn, FNP
• Martin R Littlejohn, M.D.
• Rebecca Okashah Littlejohn, MS
• Tomoko Littlejohn
• Mark Littlestar, D.D.S.
• Vicky L Litton, MD
• Dawson Johnson Littrell
• Leann Littrell
• Mary Litzenberger

• 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 Jul 31, 2024; 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.