Individual provider Active NPI

Barbara Arlene Macneill, DMD

  • Dentist
  • San Antonio, TX
National Provider Identifier
1831270875
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21596 Issued in TX
Practice address
303 E Hildebrand Ave Ste 1
San Antonio, TX 78212-2476
Phone
(210) 828-1392
Fax
(210) 829-1828
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21596 TX Primary

Addresses

Primary practice location

303 E Hildebrand Ave Ste 1
San Antonio, TX 78212-2476

Mailing address

303 E Hildebrand Ave Ste 1
San Antonio, TX 78212-2476
Phone (210) 828-1392

Other practice location 1

8210 Floyd Curl Dr # 8198
San Antonio, TX 78229-3923
Phone (210) 450-3315

Other practice location 2

15303 Huebner Rd Ste 17
San Antonio, TX 78248-0982
Phone (210) 828-1392

Other identifiers 3

IdentifierTypeStateIssuer
170155904MedicaidTX
89D726OtherBLUE CROSS BLUE SHIELD
170155901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160406000006 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941257422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21596TXMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MFD Dental, PA CurrentSince Feb 12, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

15303 Huebner Rd
Ste 17
San Antonio, TX 78248
Phone (210) 696-2563

303 E Hildebrand Ave
Ste 1
San Antonio, TX 78212
Phone (210) 828-1392

Interoperability endpoints

  • Direct secure messaging: bmacneill60963@direct.utmsa.com

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1831270875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E HILDEBRAND AVE STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122476",
            "telephone_number": "210-828-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E HILDEBRAND AVE STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122476",
            "telephone_number": "210-828-1392",
            "fax_number": "210-829-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr # 8198",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15303 Huebner Rd Ste 17",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782480982",
            "country_code": "US",
            "telephone_number": "210-828-1392",
            "fax_number": "210-829-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "BARBARA",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170155904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89D726",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170155901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.