Individual provider Active NPI

Jesus Leal Almaguer, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1689940546
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11775 Issued in TX
Practice address
4006 Nogalitos
San Antonio, TX 78211-1300
Phone
(210) 922-6929
Fax
(210) 928-1020
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11775 TX Primary

Addresses

Primary practice location

4006 Nogalitos
San Antonio, TX 78211-1300

Mailing address

4006 Nogalitos
San Antonio, TX 78211-1300
Phone (210) 922-6929

Other identifiers 1

IdentifierTypeStateIssuer
0908576-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11775TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1689940546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111300",
            "telephone_number": "210-922-6929",
            "fax_number": "210-928-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111300",
            "telephone_number": "210-922-6929",
            "fax_number": "210-928-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMAGUER",
        "first_name": "JESUS",
        "middle_name": "LEAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908576-01",
            "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 Mar 26, 2012; 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.