Individual provider Active NPI

Lydia Lisa Brett, DMD, MSD

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1528586757
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38156 Issued in TX
Practice address
12000 Wilcrest Dr Ste 207
Houston, TX 77031-1908
Phone
(281) 495-8828
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38156 TX Primary
General Practice Dentistry 1223G0001X 0401415818 VA

Addresses

Primary practice location

12000 Wilcrest Dr Ste 207
Houston, TX 77031-1908

Mailing address

12000 Wilcrest Dr Ste 207
Houston, TX 77031-1908
Phone (281) 495-8828

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
0401415818VAMDGeneral Practice Dentistry
38156TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
SW Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Mar 20, 2025 Accepting new patients
Childrens Dentistry & Orthodontics Pasadena TX PLLC Pediatric Dentistry CurrentSince Mar 11, 2025 Accepting new patients
Wildflower Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Dental Professionals of Virginia, P.C. General Practice Past Accepting new patients

Locations

12000 Wilcrest Dr
Ste 207
Houston, TX 77031
Phone (281) 495-8828

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1528586757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 WILCREST DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311908",
            "telephone_number": "281-495-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WILCREST DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311908",
            "telephone_number": "281-495-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETT",
        "first_name": "LYDIA",
        "middle_name": "LISA",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "38156",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.