Lekeba Tier Granger, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

32403 Issued in TX

Practice address

1553 FM 685 Ste 400
Pflugerville, TX 78660-3686

Phone

(512) 989-3330

NPI assigned

Jan 21, 2011

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pflugerville Modern Dentistry PC

  dba Pflugerville Modern Dentistry

  • General Practice Dentistry
  • Pflugerville, TX
  • NPI 1992099519
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1285939322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 TOWN CENTER DR APT 3801",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607305",
            "telephone_number": "309-989-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 FM 685 STE 400",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603686",
            "telephone_number": "512-989-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "LEKEBA",
        "middle_name": "TIER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32403",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GPK Pediatrics, PLLC
• Samantha A Graef, PA-C
• Aurora Elizabeth Graham, NP
• Mary Graham, LVN
• Grand Ave Pharmacy
• Nhi Graves, APRN
• Great Hills Eye Care, PC
• Daisy Green
• Sierra Green
• Guadalupe County Hospital Board (Five Points of Pflugerville)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.