Organization Active NPI

Alamo Springs Dental, PLLC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1912376880
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALAMO SPRINGS DENTAL, PLLC
Practice address
11590 Galm Rd
Suite 109
San Antonio, TX 78254
Phone
(210) 463-9339
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Michele Moreno, DDSNPI 1902966922
Title
Officer
Phone
(210) 463-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11590 Galm Rd
Suite 109
San Antonio, TX 78254

Mailing address

11590 Galm Road
Suite 109
San Antonio, TX 78254
Phone (210) 463-9339

National Provider Directory

National Provider Directory

Locations

11590 Galm Rd
Ste 109
San Antonio, TX 78254
Phone (210) 463-9339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1912376880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 GALM ROAD",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-463-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 GALM RD",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-463-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO SPRINGS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-463-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Jan 27, 2016; 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.