Lakewood Kids Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LAKEWOOD KIDS DENTISTRY, PLLC

Practice address

11550 Louetta Rd
Houston, TX 77070-1368

Phone

(832) 654-6641

NPI assigned

Feb 13, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Davette D Johnson-Harris, DDS,MS

Title

Owner,Provider

Phone

(832) 654-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1215493408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 LOUETTA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701368",
            "telephone_number": "832-654-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 LOUETTA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701368",
            "telephone_number": "832-654-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD KIDS DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HARRIS",
        "authorized_official_first_name": "DAVETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER,PROVIDER",
        "authorized_official_telephone_number": "832-654-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518198480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeview Pharmacy LLC
• Lakewood 24 HR Personal Health Care
• Lakewood Chiropractic Clinic, P.a. (Lakewood Chiropractic & Rehab)
• Lakewood Dentistry
• Lakewood Family Physicians PA
• Lakewood Senior Living of Hermann Park
• Lakewood Smiles
• Lakewood Transport Service
• Lakewood Transport Service Inc (Lakewood Transport Service)
• Elizabeth Beanash Lakey

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.