Organization Active NPI

Lake Highlands Dental

  • Dentist
  • Dallas, TX
National Provider Identifier
1134810203
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKE HIGHLANDS DENTAL
Practice address
6301 Abrams Rd Ste 125
Dallas, TX 75231-7858
Phone
(214) 428-6212
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Melissa Sigman
Title
Director of Operations
Phone
(972) 292-3092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6301 Abrams Rd Ste 125
Dallas, TX 75231-7858

Mailing address

1150 E Eldorado Pkwy Ste 100
Little Elm, TX 75068-5502

Other names 1

  • Hermosa Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1134810203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E ELDORADO PKWY STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ABRAMS RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317858",
            "telephone_number": "214-428-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HIGHLANDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-292-3092"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermosa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.