Individual provider Active NPI

Lisa R Higgs, DMD

  • Dentist
  • Santa Fe, TX
National Provider Identifier
1407100829
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25473 Issued in TX
Practice address
13125 Highway 6
Santa Fe, TX 77510-7681
Phone
(409) 925-3549
Fax
(409) 925-2931
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25473 TX Primary

Addresses

Primary practice location

13125 Highway 6
Santa Fe, TX 77510-7681

Mailing address

PO Box 741
Santa Fe, TX 77510-0741
Phone (409) 925-3549

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150923000121 TX Order and Referring Only - DentistPractitioner - Dentist 4486961588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higgs Family Dental,PLLC CurrentSince Dec 6, 2022 Accepting new patients
Stanley a. Higgs, D.D.S., Inc. Past Accepting new patients

Locations

13125 Highway 6
Santa Fe, TX 77510
Phone (409) 925-3549

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1407100829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775100741",
            "telephone_number": "409-925-3549",
            "fax_number": "409-925-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775107681",
            "telephone_number": "409-925-3549",
            "fax_number": "409-925-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGS",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

Verify at the official NPI Registry.