Individual provider Active NPI

Guadalupe Lezama de Solar, RDH

  • Dental Hygienist
  • Georgetown, TX
National Provider Identifier
1457853137
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
14868 Issued in TX
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

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14868TXMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.