Organization Active NPI

LFD Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1194494773
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LFD DENTAL PLLC
Practice address
4417 S Lancaster Rd Ste 2275
Dallas, TX 75216-7278
Phone
(469) 620-7445
Fax
(469) 607-9229
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Mr. Tee Semera
Title
Director of Compliance
Phone
(469) 556-9000

Specialties & licenses 1

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

Addresses

Primary practice location

4417 S Lancaster Rd Ste 2275
Dallas, TX 75216-7278

Mailing address

2401 E Randol Mill Rd Ste 520
Arlington, TX 76011-6380
Phone (817) 809-4865

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tee.semera@altiusdental.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1194494773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E RANDOL MILL RD STE 520",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116380",
            "telephone_number": "817-809-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 S LANCASTER RD STE 2275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167278",
            "telephone_number": "469-620-7445",
            "fax_number": "469-607-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LFD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "469-556-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tee.semera@altiusdental.com",
            "affiliation": "N",
            "address_1": "4417 S Lancaster Rd Ste 2275",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752167278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Sep 8, 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.