NPI age
19 years
Enumerated 2007-01-10
● Active Type 2 · Organization
Alamo Maxillofacial Surgical Associates, PA
Alamo Maxillofacial Surgical Associates, PA is 1 of 935 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shy
Practice Administrator
Last NPPES update
2016-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4499 Medical Dr, Suite #190
San Antonio, TX 782293735
Mailing address
4499 Medical Dr, Suite #190
San Antonio, TX 782293735
Authorized official
Kelly Ann Shy, MHSM
Practice Administrator
📞 2106143915
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Patricia Allen, CWHNP Nurse Practitioner NPI 1598956211
- John Ayala, M.D. Specialist NPI 1346329455
- Kristie Borgman, MD Pediatrics NPI 1033266846
- Alan Braid, MD Obstetrics & Gynecology NPI 1205810447
- David Brennen, MD Pediatrics NPI 1629136692
- Kevin Browne, M.D. Otolaryngology NPI 1568531390
- Steven Buckley, DDS, MD Dentist NPI 1285602276
- Vincent Caldarola, M.D. Specialist NPI 1124043591
- Barry Cofer, M.D. Surgery NPI 1386617876
- Marlen Diaz, APRN-CNP Nurse Practitioner NPI 1437970126
- John Doski, M.D. Surgery NPI 1518930668
- John Edeen, M.D. Orthopaedic Surgery NPI 1972578565
- Wendell Edgin, DDS Dentist NPI 1619977493
- Linda Ellsworth, M.D., PH.D. Obstetrics & Gynecology NPI 1528131273
- Lillian Engelsgjerd, M.D. Obstetrics & Gynecology NPI 1427037191
- N Fields, P.A. Physician Assistant NPI 1578532529
- James Franco, DDS, MD Dentist NPI 1063480077
- Olivia Funes, PA-C Physician Assistant NPI 1144649153
- Cecilia Garcia De Mitchell, MD Plastic Surgery NPI 1073717237
- Charles Gay, M.D. Pediatrics NPI 1033189022
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0014AW | MEDICARE |
| 05 (TX) | 079997501 |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.