Active NPI
Andrew Lazaris, D.D.S.
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1396895090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18873
- Practice address
- 5132 Village Creek Dr
Ste. 400
Plano, TX 75093-5064 - Phone
- (972) 381-1888
- Fax
- (972) 381-7003
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18873 | TX | Primary |
Addresses
Primary practice location
5132 Village Creek Dr
Ste. 400
Plano, TX 75093-5064
Mailing address
5132 Village Creek Dr
Ste. 400
Plano, TX 75093-5064
Phone (972) 381-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508895418 | Other | TX | ORGANIZATION NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18873 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plano Texas Dental | Past | Accepting new patients | |
| Later Dental | Past | Accepting new patients | |
| Texas Dental, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Plano, TX
- NPI 1508895418
-
- Dentist
- Plano, TX
- NPI 1982020665
-
- Dental Clinic/Center
- Plano, TX
- NPI 1912545351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396895090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 VILLAGE CREEK DR",
"address_2": "STE. 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935064",
"telephone_number": "972-381-1888",
"fax_number": "972-381-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5132 VILLAGE CREEK DR",
"address_2": "STE. 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935064",
"telephone_number": "972-381-1888",
"fax_number": "972-381-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARIS",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI",
"identifier": "1508895418",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.