Lotus Dental of Texas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LOTUS DENTAL OF TEXAS

Doing business as

Prime Dental of Liberty Hill

Practice address

9073 W State Hwy 29
Georgetown, TX 78628

Phone

(512) 299-3806

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Deepam Tiwan

Title

Access Manager

Phone

(512) 299-3806

Specialties & licenses 1

Addresses

Other names 1

• Prime Dental of Liberty Hill Doing business as

Practitioners 1

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

• Priyanka Agrawal, DDS

  • Dentist
  • Killeen, TX
  • NPI 1134615032
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1114593647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LATITUDE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9073 W STATE HWY 29",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-299-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS DENTAL OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "TIWAN",
        "authorized_official_first_name": "DEEPAM",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "512-299-3806"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental of Liberty Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Therese Long, AU.D.
• Longhorn Senior Care, LLC
• David W. Loper, D.C.
• Rafael Lopez, D.C.
• Lori L. Palazzo M.D. LLC
• Kimi C Lourigan, P.T.
• Patricia Ann Lowry, MD
• Heather Karina Loyo, PH.D., MBA, RMT
• LSCC Georgetown Pharmacy- Williams Drive
• Autumn Lui, PHARMD

• General Practice Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.