DR. CARLOS GABRIEL LANDAETA QUINONES D.D.S.
NPI 1770915829
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Q: What is Carlos Landaeta Quinones's NPI number?

The NPI number for Carlos Landaeta Quinones is 1770915829. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Q: What is Carlos Landaeta Quinones's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since July 31, 2013PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 567-3460 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Carlos Gabriel Landaeta Quinones D.d.s. NPPES

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

DR. CARLOS GABRIEL LANDAETA QUINONES D.D.S. (NPI 1770915829) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (30389) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770915829

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CARLOS GABRIEL LANDAETA QUINONESCredential: D.D.S.

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-3297 · Fax (210) 567-6600

Phone(210) 567-3460

Sole ProprietorNo

Enumeration DateJuly 31, 2013

Last NPPES UpdateOctober 4, 2016

✔ NPI 1770915829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 30389

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4502 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN386587YQKATX

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 ›

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. Carlos Gabriel Landaeta Quinones D.d.s. 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 78229 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 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)