DR. ELIZABETH DOMINIQUE MATTSSON DDS
NPI 1104071794
Dentist - General Practice in San Antonio, TX

Q: What is Elizabeth Mattsson's NPI number?

The NPI number for Elizabeth Mattsson is 1104071794. It was assigned to this individual provider in the NPPES registry on November 24, 2008. The provider is also known as Elizabeth Campos.

Q: What is Elizabeth Mattsson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 24, 2008PECOS Enrolled

1202 E. SONTERRA BLVD, SUITE 502, SAN ANTONIO, TX 78258(210) 349-3715(210) 545-2008 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2021, Nov 9, 2016 (2 updates tracked since 2016).

On this page

About Dr. Elizabeth Dominique Mattsson Dds NPPES

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

DR. ELIZABETH DOMINIQUE MATTSSON DDS (NPI 1104071794) is an individual general practice provider in San Antonio, Texas, licensed in Texas (23987) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104071794

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELIZABETH DOMINIQUE MATTSSONCredential: DDS

Location Address1202 E. SONTERRA BLVD, SUITE 502San Antonio, TX 78258

Mailing Address1202 E. Sonterra Blvd, Suite 502San Antonio, TX 78258 · (210) 349-3715 · Fax (210) 545-2008

Phone(210) 349-3715

Fax(210) 545-2008

Sole ProprietorNo

Enumeration DateNovember 24, 2008

Last NPPES UpdateOctober 24, 20212 updates tracked since enumeration

NPPES CertifiedOctober 24, 2021

✔ NPI 1104071794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 23987

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1202 E. SONTERRA BLVD, San Antonio, TX 78258

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Other Names 1

Former Name (1)Elizabeth Campos

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Dominique Mattsson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elizabeth Mattsson's NPI number?

The NPI number for Elizabeth Mattsson is 1104071794. It was assigned to this individual provider in the NPPES registry on November 24, 2008. The provider is also known as Elizabeth Campos.

Where is Elizabeth Mattsson located?

Elizabeth Mattsson practices at 1202 E. Sonterra Blvd Suite 502, San Antonio, TX 78258. The listed phone number is (210) 349-3715.

What is Elizabeth Mattsson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elizabeth Mattsson enrolled in Medicare?

Yes. Elizabeth Mattsson is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Mattsson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana and 1 other insurer list Elizabeth Mattsson 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 Elizabeth Mattsson was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.