Organization Active NPI

Lela Farmer DDS MSD

Doing business as Scuba Smiles for Kids

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1073247052
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LELA FARMER DDS MSD
Doing business as
Scuba Smiles for Kids
Practice address
3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762
Phone
(210) 899-1099
NPI assigned
Jul 14, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Lela Christine Farmer, DDS MSDNPI 1992154660
Title
Owner
Phone
(704) 641-4117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762

Mailing address

3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762
Phone (210) 899-1099

Other identifiers 2

IdentifierTypeStateIssuer
1841632270OtherNPPES
1992154660OtherNPPES

Other names 1

  • Scuba Smiles for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

3829 Lockhill Selma Rd
Ste 105
San Antonio, TX 78230
Phone (210) 899-1099

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1073247052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301762",
            "telephone_number": "210-899-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301762",
            "telephone_number": "210-899-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELA FARMER DDS MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-641-4117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1841632270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1992154660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scuba Smiles for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.