Organization Active NPI

7TH Medgrp-Dyess

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Dyess Afb, TX
National Provider Identifier
1477523330
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
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-DYESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4511413OtherTXNCPDP

Other names 1

  • Dyess AFB MTF Other name

National Provider Directory

National Provider Directory
Tax ID family
7TH Medgrp-Dyess2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.