Active NPI
Guadalupe Lezama de Solar, RDH
- Dental Hygienist
- Georgetown, TX
National Provider Identifier
1457853137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14868
- Practice address
- 2411 Williams Dr Ste 111
Georgetown, TX 78628-3268 - Phone
- (512) 864-1445
- NPI assigned
- Mar 8, 2018
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14868 | TX | Primary |
Addresses
Primary practice location
2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Mailing address
2018 W Rundberg LN Apt 13D
Austin, TX 78758-5973
Phone (979) 219-6084
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 |
|---|---|---|---|
| 14868 | TX | MD | Dental Hygienist |
Interoperability endpoints
- guadalupe.lezamadesolar.p1@direct.lscctx.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1457853137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 W RUNDBERG LN APT 13D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585973",
"telephone_number": "979-219-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 WILLIAMS DR STE 111",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283268",
"telephone_number": "512-864-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZAMA DE SOLAR",
"first_name": "GUADALUPE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "14868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Levo Dental 2 PLLC (Smile Haus Georgetown)
- Levo Dental PLLC (Smile Haus on the Square)
- Levo Dental PLLC (Smile Haus)
- Tuan Anh Levo
- Katie Lauryn Lewis, APRN, FNP-C
- Yang Li
- Liberty Drugs LLC (Liberty Pharmacy)
- Liberty Drugs LLC (Liberty Pharmacy)
- Liberty Hill Pediatric Dentistry, PA
- Lynn Russell Lidell, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.