DR. MAURICIO MARCUSHAMER DDS
NPI 1699842690
Dentist - Pediatric Dentistry in San Antonio, TX

Active since November 29, 2006
3006 BROADWAY STE 103, SAN ANTONIO, TX 78209(210) 225-8888(210) 225-4195 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mauricio Marcushamer Dds NPPES

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

DR. MAURICIO MARCUSHAMER DDS (NPI 1699842690) is an individual pediatric dentistry provider in San Antonio, Texas, licensed in Texas (18580) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1699842690
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MAURICIO MARCUSHAMERCredential: DDS
Location Address3006 BROADWAY STE 103San Antonio, TX 78209-1561
Mailing Address3006 Broadway Ste 103San Antonio, TX 78209-1561 · (210) 225-8888 · Fax (210) 225-4195
Fax(210) 225-4195
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1699842690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 18580
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3006 BROADWAY STE 103, San Antonio, TX 78209

Other Identifiers 1

Medicaid120938902TX

Accepted 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.

Dentist (Pediatric Dentistry)
3006 BROADWAY STE 103
SAN ANTONIO, TX 78209

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 Mauricio Marcushamer's NPI number?

The NPI number for Mauricio Marcushamer is 1699842690. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Mauricio Marcushamer located?

Mauricio Marcushamer practices at 3006 Broadway Ste 103, San Antonio, TX 78209. The listed phone number is (210) 225-8888.

What is Mauricio Marcushamer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mauricio Marcushamer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Mauricio Marcushamer 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 Mauricio Marcushamer was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.