Andrea Lacerda

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41037 Issued in TX

Practice address

20711 Wilderness Oak Ste 103
San Antonio, TX 78258-2641

Phone

(210) 787-1200

Fax

(210) 497-6077

NPI assigned

Jul 23, 2022

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Lacerda De Araujo Lima Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids World Pediatric Dentistry

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1295161818
  NPD (past)

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1073248969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ZURICH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302883",
            "telephone_number": "860-416-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20711 WILDERNESS OAK STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582641",
            "telephone_number": "210-787-1200",
            "fax_number": "210-497-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERDA",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "41037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DE ARAUJO LIMA",
            "middle_name": "LACERDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lacasita Medical Transport
• Lacasita PCH LLC
• Lacasita Staffing LLC
• Albert Laforest Lacasse III, MD
• Marcela Raquel Lacayo Espinoza, DDS
• Lacey L. Aguero
• Tracy Ann Lachance-Funes, HIS
• Kathy Ann Lacivita, MD
• James Manning Lackey, MD
• Jennifer Joy Lacoss, M.D.

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.