Active NPI
Lance Gregory Coleman, DDS
- Dentist
- Lubbock, TX
National Provider Identifier
1447433610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19294
- Practice address
- 3301 Clovis Rd
Lubbock, TX 79415-5155 - Phone
- (806) 765-2611
- Fax
- (806) 771-7851
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19294 | TX | Primary |
Addresses
Primary practice location
3301 Clovis Rd
Lubbock, TX 79415-5155
Mailing address
1313 Broadway
Suite 5
Lubbock, TX 79401-3277
Phone (806) 765-2605
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 |
|---|---|---|---|
| 19294 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280016000000",
"number": "1447433610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 BROADWAY",
"address_2": "SUITE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794013277",
"telephone_number": "806-765-2605",
"fax_number": "806-765-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 CLOVIS RD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794155155",
"telephone_number": "806-765-2611",
"fax_number": "806-771-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "LANCE",
"middle_name": "GREGORY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2010-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.