NPIMap

Organization Active NPI

Lord Dental, P.a.

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1316013436
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22028 Issued in TX
Legal business name
LORD DENTAL, P.A.
Practice address
4509 E Lancaster Ave
Fort Worth, TX 76103-3210
Phone
(817) 546-1020
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Dr. Leyla Lord, D.M.D.NPI 1962446195
Title
President
Phone
(972) 904-9248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22028 TX
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22028 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 22028 TX

Addresses

Primary practice location

4509 E Lancaster Ave
Fort Worth, TX 76103-3210

Mailing address

4509 E Lancaster Ave
Fort Worth, TX 76103-3210
Phone (817) 546-1020

Other identifiers 2

IdentifierTypeStateIssuer
177614801MedicaidTX
B2202801OtherTXCHIP

National Provider Directory

National Provider Directory

Locations

4509 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 546-1020

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1316013436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033210",
            "telephone_number": "817-546-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033210",
            "telephone_number": "817-546-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-904-9248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22028",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22028",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177614801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "B2202801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.