Active NPI
Daniel T Lockard Jr., MD
- Obstetrics & Gynecology Physician
- Southlake, TX
National Provider Identifier
1104888379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H3329
- Practice address
- 1315 Bent Creek Dr
Southlake, TX 76092-9433 - Phone
- (817) 800-8303
- Fax
- (817) 481-8303
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H3329 | TX | Primary |
Addresses
Primary practice location
1315 Bent Creek Dr
Southlake, TX 76092-9433
Mailing address
1315 Bent Creek Dr
Southlake, TX 76092-9433
Phone (817) 800-8303
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0673398 | Other | AETNA | |
| 114138402 | Medicaid | TX | |
| 89322B | Other | BLUE SHIELD | |
| 0808974101 | Medicaid | TX | |
| 1141384-05 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1104888379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 BENT CREEK DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929433",
"telephone_number": "817-800-8303",
"fax_number": "817-481-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 BENT CREEK DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929433",
"telephone_number": "817-800-8303",
"fax_number": "817-481-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKARD",
"first_name": "DANIEL",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H3329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0673398",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114138402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "89322B",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0808974101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1141384-05",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.