Active NPI
7TH Medgrp-Dyess
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Dyess Afb, TX
National Provider Identifier
1477523330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Legal business name
- 7TH MEDGRP-DYESS
- Practice address
- 697 Louisiana Dr
Suite 1C5
Dyess Afb, TX 79607-1367 - Phone
- (325) 696-4712
- NPI assigned
- Jan 24, 2006
- Organization subpart
- Yes
- Parent organization
- 7TH MEDGRP-DYESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jen Lewandowski
- Title
- Dha Ubo
- Phone
- (703) 817-4030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Primary | ||
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | |||
| Military/U.S. Coast Guard Pharmacy | 332000000X |
Addresses
Primary practice location
697 Louisiana Dr
Suite 1C5
Dyess Afb, TX 79607-1367
Mailing address
697 Louisiana Dr
Suite 1C5
Dyess Afb, TX 79607-1367
Phone (325) 696-4712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4511413 | Other | TX | NCPDP |
Other names 1
- Dyess AFB MTF
National Provider Directory
National Provider Directory- Tax ID family
- 7TH Medgrp-Dyess
- Part of
- 7TH Medgrp-Dyess
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Pharmacy
- Dyess Afb, TX
- NPI 1710396031
Locations
697 Louisiana Rd
Ste 1C5
Dyess AFB, TX 79607
Phone (325) 696-4712
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1154766814
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Dayton, OH
- NPI 1033572680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1477523330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 LOUISIANA DR",
"address_2": "SUITE 1C5",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "796071367",
"telephone_number": "325-696-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 LOUISIANA DR",
"address_2": "SUITE 1C5",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "796071367",
"telephone_number": "325-696-4712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "7TH MEDGRP-DYESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "7TH MEDGRP-DYESS",
"enumeration_date": "2006-01-24",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "LEWANDOWSKI",
"authorized_official_first_name": "JEN",
"authorized_official_title_or_position": "DHA UBO",
"authorized_official_telephone_number": "703-817-4030"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1101X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
"state": null,
"license": null,
"primary": false
},
{
"code": "332000000X",
"taxonomy_group": "",
"desc": "Military/U.S. Coast Guard Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4511413",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dyess AFB MTF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dyess Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.