Organization Active NPI

Lacy Mankin, DDS, P.a.

  • General Practice Dentistry
  • Abilene, TX
National Provider Identifier
1184495426
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LACY MANKIN, DDS, P.A.
Practice address
4150 S Danville Dr
Abilene, TX 79605-7250
Phone
(325) 437-3395
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Lacy Mankin, DDS
Title
Owner
Phone
(325) 437-3395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4150 S Danville Dr
Abilene, TX 79605-7250

Mailing address

4150 S Danville Dr
Abilene, TX 79605-7250
Phone (325) 437-3395

Other names 1

  • Affordable Dentures - Abilene Doing business as

National Provider Directory

National Provider Directory

Locations

4150 S Danville Dr
Abilene, TX 79605
Phone (325) 437-3395

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1184495426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057250",
            "telephone_number": "325-437-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057250",
            "telephone_number": "325-437-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY MANKIN, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-437-3395",
        "authorized_official_credential": "DDS"
    },
    "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": "Affordable Dentures - Abilene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.