Active NPI
Lauren N Massey Williams, DMD
- General Practice Dentistry
- Floresville, TX
National Provider Identifier
1023248002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24778
- Practice address
- 540 10TH St
Suite 140
Floresville, TX 78114-3167 - Phone
- (830) 393-7190
- Fax
- (830) 393-7679
- NPI assigned
- Jul 23, 2009
- Last updated
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24778 | TX | Primary |
Addresses
Primary practice location
540 10TH St
Suite 140
Floresville, TX 78114-3167
Mailing address
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208455001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 7, 2018 through Sep 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17849 | TX | MD | General Practice Dentistry |
| 10804 | NC | MD | Pharmacist |
| 24778 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atascosa Health Center, Inc. | Past | Accepting new patients | |
| Kendalyn Lutz-Craver DDS PA | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Poteet, TX
- NPI 1407742109
-
- General Practice Dentistry
- Shelby, NC
- NPI 1881797066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1023248002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W OAKLAWN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-8940",
"fax_number": "830-569-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 10TH ST",
"address_2": "SUITE 140",
"city": "FLORESVILLE",
"state": "TX",
"postal_code": "781143167",
"telephone_number": "830-393-7190",
"fax_number": "830-393-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY WILLIAMS",
"first_name": "LAUREN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208455001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Floresville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.