Individual provider Active NPI

Lillian Carmina Lyons, DDS, M.S

  • Periodontics
  • Houston, TX
National Provider Identifier
1053438713
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
23138 Issued in TX
Practice address
333 Clay St.
Ste 100
Houston, TX 77002
Phone
(713) 658-9591
Fax
(936) 231-8943
NPI assigned
Mar 26, 2007
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 23138 TX Primary

Addresses

Primary practice location

333 Clay St.
Ste 100
Houston, TX 77002

Mailing address

2257 N Loop 336 W
Ste. 140 PMB 1123
Conroe, TX 77304
Phone (832) 494-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1053438713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N LOOP 336 W",
            "address_2": "STE. 140 PMB 1123",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "832-494-7007",
            "fax_number": "936-231-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CLAY ST.",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77002",
            "telephone_number": "713-658-9591",
            "fax_number": "936-231-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LILLIAN",
        "middle_name": "CARMINA",
        "name_prefix": "Dr.",
        "credential": "DDS, M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "23138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.