Individual provider Active NPI

Royanna Joy Puen, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1821021890
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24392 Issued in TX
Practice address
20770 US Highway 281 N
108-407
San Antonio, TX 78258-7519
Phone
(510) 301-4350
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24392 TX Primary
General Practice Dentistry 1223G0001X 45959 CA

Addresses

Primary practice location

20770 US Highway 281 N
108-407
San Antonio, TX 78258-7519

Mailing address

1406 Fitch St
San Antonio, TX 78211-1406
Phone (210) 922-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003169 CA Order and Referring Only - DentistPractitioner - Dentist 6204374549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24392TXMDClinical Social Worker
45959CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Ministries of South Texas Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1821021890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 FITCH ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111406",
            "telephone_number": "210-922-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 US HIGHWAY 281 N",
            "address_2": "108-407",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587519",
            "telephone_number": "510-301-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUEN",
        "first_name": "ROYANNA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24392",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.