Craniomandibular Associates of San Antonio PLLC
NPI 1093695660ActiveOrganization· Dentist, General Practice· Boerne, TX
Dentist, General Practice in Boerne, Texas, registered in NPPES in September 2025. The authorized official on file is Tara Lee Cully, Ceo.
Overview
| NPI | 1093695660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2025 |
| Last updated in NPPES | Oct 3, 2025 |
| Certified by provider | Oct 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
Other general dentists in Boerne
- 1093003964
- 1184325755
- 1215303136
- 1326711771
- 1346884236
- 1558761155
- 1710147350
- 1801899323
- 1982794467
- 1013347012
- 1043887953
- 1053899435
All 30 general dentists in Boerne · All general dentists in Texas