Individual provider Active NPI

Angela Andrea Gomez Romero, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1982084810
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37042 Issued in TX
Practice address
11919 Culebra Rd BLDG 2
San Antonio, TX 78253-2102
Phone
(210) 688-0332
Fax
(210) 688-0333
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414846 VA
Dentist 122300000X 37042 TX Primary

Addresses

Primary practice location

11919 Culebra Rd BLDG 2
San Antonio, TX 78253-2102

Mailing address

18015 Camino del Mar
San Antonio, TX 78257-5002
Phone (208) 724-3277

Other practice location 1

4530 Professional Cir
Virginia Beach, VA 23455-6441
Phone (757) 499-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001677 VA Order and Referring Only - DentistPractitioner - Dentist 8325347032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414846VAMDDentist
37042TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lost Creek Dental Two, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Lost Creek Dental PastSince Dec 26, 2021 Accepting new patients
Savage & Reske LTD Past Accepting new patients

Locations

11919 Culebra Rd
Bldg 2
San Antonio, TX 78253
Phone (210) 688-0332

Organizations & group practices 3

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1982084810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18015 CAMINO DEL MAR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782575002",
            "telephone_number": "208-724-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 CULEBRA RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532102",
            "telephone_number": "210-688-0332",
            "fax_number": "210-688-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 Professional Cir",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556441",
            "country_code": "US",
            "telephone_number": "757-499-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ ROMERO",
        "first_name": "ANGELA ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414846",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.