Organization Active NPI

Ted Lawson DDS PLLC

  • Dentist
  • Waco, TX
National Provider Identifier
1043540677
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19199 Issued in TX
Legal business name
TED LAWSON DDS PLLC
Practice address
2012 Lake Air Dr Ste a
Waco, TX 76710-7902
Phone
(254) 751-7100
Fax
(254) 751-7144
NPI assigned
Jan 4, 2010
Last updated
Jan 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Ted Lawson, D.D.S.
Title
Manager
Phone
(254) 751-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19199 TX Primary

Addresses

Primary practice location

2012 Lake Air Dr Ste a
Waco, TX 76710-7902

Mailing address

2012 Lake Air Dr Ste a
Waco, TX 76710-7902
Phone (254) 751-7100

National Provider Directory

National Provider Directory

Locations

2012 Lake Air Dr
Ste A
Waco, TX 76710
Phone (254) 751-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1043540677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LAKE AIR DR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107902",
            "telephone_number": "254-751-7100",
            "fax_number": "254-751-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 LAKE AIR DR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107902",
            "telephone_number": "254-751-7100",
            "fax_number": "254-751-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED LAWSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-751-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.