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MINA BOTROS DDS
NPI 1730666595
Dentist - General Practice in San Antonio, TX

Active since July 24, 2018PECOS Enrolled
9234 N LOOP 1604 W STE 121, SAN ANTONIO, TX 78249(210) 681-1121 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Jul 24, 2018 (2 updates tracked since 2018).

About Mina Botros Dds NPPES

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

MINA BOTROS DDS (NPI 1730666595) is an individual general practice provider in San Antonio, Texas, licensed in Texas (39190) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Palmdale.

NPPES Registry Identity

NPI1730666595
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMINA BOTROSCredential: DDS
Location Address9234 N LOOP 1604 W STE 121San Antonio, TX 78249-2984
Mailing Address25051 W Interstate 10 Apt 6108San Antonio, TX 78257-9018 · (818) 930-0584
Phone(210) 681-1121
Sole ProprietorNo
Enumeration DateJuly 24, 2018
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1730666595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 39190✔ Licensed in CA · 102674
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.
9234 N LOOP 1604 W STE 121, San Antonio, TX 78249
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Secondary Practice Location 1

Location 1755 W Rancho Vista BlvdPalmdale, CA 93551-3735 · Phone (661) 265-7800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Mina Botros 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 78249 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.

Other Providers at the Same Location NPPES

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

DR. DAVID L KEETON DMD
Dentist (Pediatric Dentistry)
9234 N LOOP 1604 W STE 121
SAN ANTONIO, TX 78249
Bexar County (210) 681-1121

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 Mina Botros's NPI number?

The NPI number for Mina Botros is 1730666595. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Mina Botros located?

Mina Botros practices at 9234 N Loop 1604 W Ste 121, San Antonio, TX 78249. The listed phone number is (210) 681-1121.

What is Mina Botros's specialty?

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

Is Mina Botros enrolled in Medicare?

Yes. Mina Botros is registered in the Medicare PECOS enrollment system.

What insurance does Mina Botros accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Mina Botros 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 Mina Botros was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.