Organization Active NPI

Desai Dentistry PLLC

Doing business as La Cantera Dental Group

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1932850930
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DESAI DENTISTRY PLLC
Doing business as
La Cantera Dental Group
Practice address
15900 La Cantera Pkwy Ste 20250
San Antonio, TX 78256-2512
Phone
(210) 877-0000
Fax
(210) 877-0010
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Vivian Nguyen
Title
Operations Manager
Phone
(210) 877-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 20250
San Antonio, TX 78256-2512

Mailing address

15900 La Cantera Pkwy Ste 20250
San Antonio, TX 78256-2512
Phone (210) 877-0000

Other names 1

  • LA CANTERA DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

15900 La Cantera Pkwy
Ste 20250
San Antonio, TX 78256
Phone (210) 877-0000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1932850930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 20250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562512",
            "telephone_number": "210-877-0000",
            "fax_number": "210-877-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 20250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562512",
            "telephone_number": "210-877-0000",
            "fax_number": "210-877-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-877-0000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA CANTERA DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2022; 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.