Spa Lounge LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SPA LOUNGE LLC

Doing business as

Spa Lounge by Christine

Practice address

3355 Cherry Ridge Dr Ste 104
San Antonio, TX 78230-4818

Phone

(210) 772-7177

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Christine Mercy Dimas

Title

Owner/Authorized Official

Phone

(210) 771-7277

Specialties & licenses 1

Addresses

Other names 1

• Spa Lounge by Christine Doing business as

Locations

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1780371989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 CHERRY RIDGE DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304818",
            "telephone_number": "210-772-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CHERRY RIDGE DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304818",
            "telephone_number": "210-772-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA LOUNGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "DIMAS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MERCY",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-771-7277"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa Lounge by Christine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SP Administration (Springtime Family Dental Care)
• SP Administration (Westover Hills Family Dental)
• SP Medical Supply,LLC
• SP United, LLC
• Spa Education Enterprise Resources
• Emery Spaar, RPH
• Lance Spacek, M.D.
• Gregory Keith Spackman, DDS MBA
• James Marcus Spackman, RN
• Charlotte Irene Spada, OD

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.