Individual provider Active NPI

Karen Lytle Gott, D.D.S.

  • General Practice Dentistry
  • Lindale, TX
National Provider Identifier
1447397997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16773 Issued in TX
Practice address
2485 S Main St
Lindale, TX 75771-7704
Phone
(903) 882-3411
Fax
(903) 882-3394
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16773 TX Primary

Addresses

Primary practice location

2485 S Main St
Lindale, TX 75771-7704

Mailing address

PO Box 1747
Lindale, TX 75771-1747
Phone (903) 882-3411

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
I20160621001528 TX Order and Referring Only - DentistPractitioner - Dentist 8921399031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16773TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447397997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757711747",
            "telephone_number": "903-882-3411",
            "fax_number": "903-882-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 S MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717704",
            "telephone_number": "903-882-3411",
            "fax_number": "903-882-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTT",
        "first_name": "KAREN",
        "middle_name": "LYTLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

Verify at the official NPI Registry.