Individual provider Active NPI

Lale O Adams, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1073718706
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8690 Issued in TN
Practice address
670 Colonial Rd
Suite 3
Memphis, TN 38117-5160
Phone
(901) 680-6881
Fax
(901) 680-6882
NPI assigned
Jun 21, 2007
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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 8690 TN Primary

Addresses

Primary practice location

670 Colonial Rd
Suite 3
Memphis, TN 38117-5160

Mailing address

560 Colonial Rd
Suite #100
Memphis, TN 38117-4019
Phone (901) 680-6881

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

State licenses

LicenseStateTypeSpecialty
8690TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Dental, PLC CurrentSince Apr 19, 2020 Accepting new patients

Locations

3189 Kirby Whitten Rd
Ste 101
Bartlett, TN 38134
Phone (901) 388-3150

560 Colonial Rd
Ste 100
Memphis, TN 38117
Phone (901) 680-6881

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1073718706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD",
            "address_2": "SUITE #100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174019",
            "telephone_number": "901-680-6881",
            "fax_number": "901-680-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COLONIAL RD",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175160",
            "telephone_number": "901-680-6881",
            "fax_number": "901-680-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LALE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.