Individual provider Active NPI

Lauren N Massey Williams, DMD

  • General Practice Dentistry
  • Floresville, TX
National Provider Identifier
1023248002
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24778 Issued in TX
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
208455001MedicaidTX

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
17849TXMDGeneral Practice Dentistry
10804NCMDPharmacist
24778TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.