1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Dentist
  6. NPI Profile

ALTA VISTA DENTISTRY PLLC
NPI 1053136432
Dentist in San Antonio, TX

Active since November 20, 2024
405 W GRAMERCY PL, SAN ANTONIO, TX 78212(210) 734-6556 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alta Vista Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTA VISTA DENTISTRY PLLC (NPI 1053136432) is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since November 2024. The organization lists Marissa Mooney, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053136432
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameALTA VISTA DENTISTRY PLLC
Location Address405 W GRAMERCY PLSan Antonio, TX 78212-2827
Mailing Address405 W Gramercy PlSan Antonio, TX 78212-2827 · (210) 734-6556
Phone(210) 734-6556
Organization SubpartNo
Authorized OfficialMarissa MooneyPractice Manager · (210) 734-6556
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1053136432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
405 W GRAMERCY PL, San Antonio, TX 78212
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN E NAVEY DDS PA
Dentist (General Practice)
405 W GRAMERCY PL
SAN ANTONIO, TX 78212
Bexar County (210) 734-6556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alta Vista Dentistry PLLC's NPI number?

The NPI number for Alta Vista Dentistry PLLC is 1053136432. It was assigned to this organization in the NPPES registry on November 20, 2024.

Where is Alta Vista Dentistry PLLC located?

Alta Vista Dentistry PLLC is located at 405 W Gramercy Pl, San Antonio, TX 78212. The listed phone number is (210) 734-6556.

What is Alta Vista Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Alta Vista Dentistry PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Alta Vista Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alta Vista Dentistry PLLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.