Terry Lassiter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

15519 Issued in TX

Practice address

211 Sun Valley Blvd
Hewitt, TX 76643-3571

Phone

(254) 666-1366

NPI assigned

Nov 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpha Omega Dental Associates

  • Preferred Provider Organization
  • Hewitt, TX
  • NPI 1306391362
  NPD (past) Authorized official
• Robert B. Alston, Jr. D.D.S.

  • Customized Equipment (DME)
  • Hewitt, TX
  • NPI 1861761413
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1285008979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUN VALLEY BLVD",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433571",
            "telephone_number": "254-666-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUN VALLEY BLVD",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433571",
            "telephone_number": "254-666-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "TERRY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nastassia Mae Keel, MSN, APRN, FNP-C
• Mishelle Johnson Kochumuttom, PHARM. D
• Camille Plasek Koehler, PTA
• Amy Kyle, PT
• Teresa Ann Laseter, LCSW
• Loretta Bryce Lee, M.S., CCC-SLP
• Legacy Medical Lab Services, LLC
• Jessica Louise Licea
• Yeseul Lim, OD
• Ryan Litke, LPC

• Dentist in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.