Lakewood Dental Trails

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

LAKEWOOD DENTAL TRAILS

Practice address

10252 W Adams Ave Ste 101
Temple, TX 76502-5794

Phone

(254) 206-3200

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Margarita Arsiaga

Title

Affiliate Coach

Phone

(210) 787-4970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Jean Craig

  • General Practice Dentistry
  • Temple, TX
  • NPI 1649979089
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1114453362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10252 W ADAMS AVE SUITE 101",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10252 W ADAMS AVE STE 101",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025794",
            "telephone_number": "254-206-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTAL TRAILS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "ARSIAGA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "AFFILIATE COACH",
        "authorized_official_telephone_number": "210-787-4970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lacour-Campbell
• Kimberly Ann Lagge, LPC
• Artor Dychingco Lagumen Jr.
• Bridgette Marie Lai, PHARMD
• Daniel Lairmore, LPC
• Shesha Sivarama Pras Lakkaraju Venkata
• Chad Christopher Lala, PA-C
• Kelli K Lala, PA-C
• Kimberly Lally, M.D.
• Stephanie Diane Lalouette, LPC

• Preferred Provider Organization in Temple, TX
• Providers in Temple, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.