Boerne TX Familty Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22462 Issued in TX

Legal business name

BOERNE TX FAMILTY DENTISTRY PLLC

Doing business as

Boerne Family Dentistry

Practice address

1361 S Main St Ste 201
Boerne, TX 78006-2863

Phone

(830) 816-6111

Fax

(830) 249-6111

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Luigi Massa, DO,DDS

Title

Owner/Dentist

Phone

(830) 660-1669

Specialties & licenses 1

Addresses

Other names 1

• Boerne Family Dentistry Doing business as

Locations

Practitioners 1

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

• John E. Pitts, DDS

  • General Practice Dentistry
  • Boerne, TX
  • NPI 1902816754
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1972017069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 S MAIN ST STE 201",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062863",
            "telephone_number": "830-816-6111",
            "fax_number": "830-249-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 S MAIN ST STE 201",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062863",
            "telephone_number": "830-816-6111",
            "fax_number": "830-249-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE TX FAMILTY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "830-660-1669",
        "authorized_official_credential": "DO,DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boerne Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boerne Pediatrics (Pediatrics of Boerne)
• Boerne Physical Therapy Institute
• Boerne Regen and Anti-Aging Center, PLLC
• Boerne Spectrum Physical Therapy Clinic (Spectrum Physical Therapy)
• Boerne Speech Therapy, LLC (Trio Rehabilitation & Wellness Solutions)
• Boerne Vision Center PA
• Boerne Wellness Chiropractic, P. a.
• Boerne Women's Care, PLLC
• Boerne's Little Smiles Dentistry for Children, PLLC
• Boerne's Little Smiles Dentistry for Children, PLLC

• Dental Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.