Individual provider Active NPI

Mohamed Moustafa Meky, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1891355434
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
39477 Issued in TX
Practice address
9234 N Loop 1604 W Ste 121&123
San Antonio, TX 78249-2983
Phone
(210) 681-1121
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 39477 TX Primary

Addresses

Primary practice location

9234 N Loop 1604 W Ste 121&123
San Antonio, TX 78249-2983

Mailing address

4510 N Loop 1604 E Apt 302
San Antonio, TX 78247-2220

Other practice location 1

23714 Hardy Oak Blvd Ste 110
San Antonio, TX 78260-1960
Phone (210) 664-3479

Other practice location 2

10049 Lemon Creek Blvd Unit 109
Boerne, TX 78015-1501
Phone (830) 341-5397

Other practice location 3

20248 State Highway 46 W Ste 140
Spring Branch, TX 78070-6894
Phone (830) 201-1085

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
39477TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bulverde Dentistry, PC Past Accepting new patients
Dentists of Stone Oak, PC Past Accepting new patients

Organizations & group practices 2

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1891355434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 N LOOP 1604 E APT 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9234 N LOOP 1604 W STE 121&123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492983",
            "telephone_number": "210-681-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23714 Hardy Oak Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782601960",
            "country_code": "US",
            "telephone_number": "210-664-3479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10049 Lemon Creek Blvd Unit 109",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780151501",
            "country_code": "US",
            "telephone_number": "830-341-5397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20248 State Highway 46 W Ste 140",
            "address_purpose": "LOCATION",
            "city": "Spring Branch",
            "state": "TX",
            "postal_code": "780706894",
            "country_code": "US",
            "telephone_number": "830-201-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKY",
        "first_name": "MOHAMED",
        "middle_name": "MOUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "39477",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2026; 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.