Kara Desper Ford, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

29850 Issued in TX

Practice address

113 Circle Way St
Lake Jackson, TX 77566-5233

Phone

(979) 297-5151

Fax

(979) 297-2851

NPI assigned

Jun 21, 2012

Last updated

Dec 16, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lake Jackson Dental Care P.a.

  • Dentist
  • Lake Jackson, TX
  • NPI 1376966887
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1427311612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 BROOKVIEW DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847035",
            "telephone_number": "270-779-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CIRCLE WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-297-5151",
            "fax_number": "979-297-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KARA",
        "middle_name": "DESPER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9217",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Resource Center
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• Fitness & Rehabilitation Services, LLC
• Corina Rae Fitze-Vallier, PHARMACY TECHNICIAN
• Foot Doctors of Texas LLC (Foot Specialists of Lake Jackson)
• Michel Antoinette Foster, OTR
• Frank J Grady MD Assoc Brazosport Eye Clinic
• Gwendolyn Casandra Franks Carter, LCSW
• Dedra Deann Frazier, PH.D
• Craig K Freedman, M.D.

• Dentist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.