D V Listengarten MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M0152 Issued in TX

Legal business name

D V LISTENGARTEN MD PLLC

Practice address

8550 Huebner Rd
San Antonio, TX 78240

Phone

(210) 541-5300

NPI assigned

Sep 3, 2015

Last updated

Sep 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dmitry V Listengarten, MDNPI 1669433173

Title

Owner

Phone

(713) 859-2978

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitry V Listengarten, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1669433173
  Medicare reassignment NPD Authorized official
• Reginald Carl Graves, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Belton, TX
  • NPI 1801348321
  Medicare reassignment NPD
• Kerry Carroll, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tumwater, WA
  • NPI 1871027904
  NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1902274269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 WURZBACH RD",
            "address_2": "332",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "713-859-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-541-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D V LISTENGARTEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "LISTENGARTEN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-859-2978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212157603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Czerniakowski, OTR
• Danielle Czerw, LCSW-S
• D Brent Evans LMSW, Acp, PC
• D Buyanov MD PLLC
• D US RX LLC (D US Pharmacy)
• D. Debra Rogers, M.D., P.a.
• D. Michael Miller, DDS, PLLC
• Ashley D'Ambrosio, M.D.
• Sarah Jaclyn D'Amore, OD
• Karen D'Armata, L.P.C.

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.