Alta Vista Dentistry PLLC
NPI 1053136432ActiveOrganization· Dentist· San Antonio, TX
Dentist in San Antonio, Texas, registered in NPPES in November 2024. The authorized official on file is Marissa Mooney, Practice Manager.
Overview
| NPI | 1053136432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2024 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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