Active NPI
Kendra Ugo Behram, DDS
- Pediatric Dentistry
- Lewisville, TX
National Provider Identifier
1437395753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0026115
- Practice address
- 560 W Main St Ste 202
Lewisville, TX 75057 - Phone
- (972) 459-0000
- Fax
- (972) 947-3957
- NPI assigned
- Dec 17, 2008
- Last updated
- Apr 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0026115 | TX | Primary |
Addresses
Primary practice location
560 W Main St Ste 202
Lewisville, TX 75057
Mailing address
560 W Main St Ste 202
Lewisville, TX 75057-3604
Phone (972) 459-0000
Other practice location 1
751 Hebron Pkwy Ste 330
Lewisville, TX 75057-5054
Phone (240) 645-5940
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 |
|---|---|---|---|
| 0026115 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Healthcare Management | Current | Accepting new patients |
Organizations & group practices 1
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": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1437395753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MAIN ST STE 202",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750573604",
"telephone_number": "972-459-0000",
"fax_number": "972-947-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MAIN ST STE 202",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75057",
"telephone_number": "972-459-0000",
"fax_number": "972-947-3957"
}
],
"practiceLocations": [
{
"address_1": "751 Hebron Pkwy Ste 330",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750575054",
"country_code": "US",
"telephone_number": "240-645-5940",
"fax_number": "972-947-3957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHRAM",
"first_name": "KENDRA",
"middle_name": "UGO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "0026115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.