Robert R. Lemke DDS, MD, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

15342 Issued in TX

Legal business name

ROBERT R. LEMKE DDS, MD, PA

Practice address

14500 San Pedro Ave
Suite 102
San Antonio, TX 78232-4391

Phone

(210) 491-0015

Fax

(210) 491-0352

NPI assigned

Jan 31, 2014

Last updated

Jan 31, 2014By 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. Robert R. Lemke, DDS, MD, PANPI 1750364295

Title

Owner/ President

Phone

(210) 491-0015

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert R Lemke, D.D.S., M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • San Antonio, TX
  • NPI 1750364295
  NPD (past) Authorized official
• Matthew Joseph Vierra, D.D.S.

  • Periodontics
  • San Antonio, TX
  • NPI 1457686776
  NPD (past)

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1366865081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 SAN PEDRO AVE",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324391",
            "telephone_number": "210-491-0015",
            "fax_number": "210-491-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 SAN PEDRO AVE",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324391",
            "telephone_number": "210-491-0015",
            "fax_number": "210-491-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. LEMKE DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "210-491-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD, PA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "28748",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "15342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.