Lisa B. Masters, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16857 Issued in TX

Practice address

7400 Blanco Rd Ste 100
San Antonio, TX 78216-4361

Phone

(210) 349-4424

Fax

(210) 340-8156

NPI assigned

Oct 12, 2006

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmasters62166@direct.utmsa.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TX Southern Dental PC

  dba Masters Dental Group, P.C.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1386223121

  Periodontics

  NPD
• Masters Dental Group, PC

  • Prosthodontics
  • San Antonio, TX
  • NPI 1922013796

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1982793469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD., STE. #100",
            "address_2": "MASTERS DENTAL GROUP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-349-4424",
            "fax_number": "210-340-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164361",
            "telephone_number": "210-349-4424",
            "fax_number": "210-340-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-450-3700",
            "fax_number": "210-567-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "LISA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86D951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Van Helen Massoud, MD
• Jennifer Marie Mast, CTRS
• Masters Dental Group, PC
• Masters of Care Home Health Services, LLC
• David Haynes Masters, DDS
• Patrick A Masters, M.D.
• Michelle Renea Maston, PTA
• Nichole Lynn Mastro, MD
• Matthew N Mastrodicasa, MD
• John David Mastrovich, M.D.

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.