Individual provider Active NPI

Travis Lambert, D.D.S.

  • General Practice Dentistry
  • Scottsbluff, NE
National Provider Identifier
1053336362
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6588 Issued in NE
Practice address
3727 Avenue D
Scottsbluff, NE 69361-4642
Phone
(308) 632-6331
Fax
(308) 633-1362
NPI assigned
Jul 13, 2006
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 6588 NE Primary

Addresses

Primary practice location

3727 Avenue D
Scottsbluff, NE 69361-4642

Mailing address

3727 Avenue D
Scottsbluff, NE 69361-4642
Phone (308) 632-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010761 NE Order and Referring Only - DentistPractitioner - Dentist 7416260021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1053336362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614642",
            "telephone_number": "308-632-6331",
            "fax_number": "308-633-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 AVENUE D",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614642",
            "telephone_number": "308-632-6331",
            "fax_number": "308-633-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "TRAVIS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.