PRIMWAY DENTAL, PLLC
NPI 1457995078
Clinic/Center - Dental in San Antonio, TX
About Primway Dental, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMWAY DENTAL, PLLC (NPI 1457995078) is a healthcare organization registered as a dental in San Antonio, Texas and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Adepeju Igun, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2094567
Primway Medical PLLC · San Antonio, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78253
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 Primway Dental, PLLC's NPI number?
The NPI number for Primway Dental, PLLC is 1457995078. It was assigned to this organization in the NPPES registry on November 6, 2019.
Where is Primway Dental, PLLC located?
Primway Dental, PLLC is located at 11345 Alamo Ranch Pkwy Ste 202, San Antonio, TX 78253. The listed phone number is (210) 688-9190.
What is Primway Dental, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Does Primway Dental, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2094567) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Primway Dental, PLLC was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Primway Dental, Pllc · NPI 1457995078
Dental organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1457995078 (Entity type: Organization)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Adepeju Igun, OWNER/DENTIST
## Practice location
- **Address:** 11345 ALAMO RANCH PKWY STE 202, San Antonio, TX 78253-6442
- **Phone:** (210) 688-9190
## Record status
- **NPPES last updated:** November 6, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457995078) · Data from the CMS NPPES public registry.