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Dr. Severiano Trujillo , DDS

Dentist - General Practice β€’ San Antonio, TX

Active NPI 1659045334 Individual Practitioner Male Practitioner
Practice location in NPPES

10103 W Loop 1604 N
San Antonio, TX 782549715

Call 2104952000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10103 W Loop 1604 N

San Antonio, TX 782549715

Telephone 2104952000
Organization at the Same NPPES Address or Phone
Sc Shine Pllc Facility NPI 1356527949

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Antonio and Texas

752 active clinicians are listed under Dentist - General Practice with a practice address in San Antonio, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

0% of these 752 clinicians have the CMS telehealth indicator.

0.1% of these 752 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 38603

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Mary Fuentes , DDS

Dentist - General Practice

NPI 1417337684

Doctor of Dental Surgery

Dr. Cesar Gonzalez , DDS

Dentist - General Practice

NPI 1306452354

Doctor of Dental Surgery

NPI 1871163873

Doctor of Dental Surgery

Dr. Virginia Lopez , DDS

Dentist - General Practice

NPI 1285127100

Doctor of Dental Surgery

Dr. Nicolas Richards , DDS

Dentist - General Practice

NPI 1598373839

Doctor of Dental Surgery

Dr. Ksenia Royal-Priest , DMD, MS

Dentist - General Practice

NPI 1659895316

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 04, 2024

Registered at 10103 W LOOP 1604 N, SAN ANTONIO, TX 782549715 (Tel: 2104952000)

πŸ“
Updated Business Mailing Address June 04, 2024

Registered at 7718 SUNRISE CAY, SAN ANTONIO, TX 782511933

βœ…
NPI Profile Active August 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2021

Registered at UT HEALTH SCIENCE CENTER AT SAN ANTONIO - AGDC, 8210 FLOYD CURL DR., MSC 8103, SAN ANTONIO, TX 782293923 (Tel: 2104503273)

πŸ“
Business Mailing Address (Initial Record) August 05, 2021

Registered at UT HEALTH SCIENCE CENTER AT SAN ANTONIO, 8210 FLOYD CURL DR., MSC 8103, SAN ANTONIO, TX 782293923

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2021

Recorded as SEVERIANO TRUJILLO, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659045334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2021
Last Update: June 04, 2024
Sole Proprietor: No

Other Dentist - General Practices in San Antonio

All Dentist - General Practices in San Antonio

Mailing Address

7718 Sunrise Cay

San Antonio, TX 782511933

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.