Organization Active NPI

Luxe Dentistry PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1679328454
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUXE DENTISTRY PLLC
Practice address
15900 La Cantera Pkwy Ste 4400
San Antonio, TX 78256-2587
Phone
(210) 699-4600
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Brandon Rebber, DDSNPI 1982963112
Title
Owner/Dentist
Phone
(210) 699-4600

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 4400
San Antonio, TX 78256-2587

Mailing address

2701 Savoy PL
Midland, TX 79705-2304

Other identifiers 2

IdentifierTypeStateIssuer
1952668733OtherTXNPPES
1982963112OtherTXNPPES

National Provider Directory

National Provider Directory

Locations

15900 La Cantera Pkwy
Ste 4400
San Antonio, TX 78256
Phone (210) 699-4600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1679328454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SAVOY PL",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 4400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562587",
            "telephone_number": "210-699-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "REBBER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-699-4600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1952668733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1982963112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 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.