Daisy Lumabas Macasieb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19505 Issued in TX

Practice address

145 Oyster Creek Dr
Ste 8a
Lake Jackson, TX 77566-4197

Phone

(979) 297-3882

Fax

(979) 297-4497

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548488604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OYSTER CREEK DR",
            "address_2": "STE 8A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664197",
            "telephone_number": "979-297-3882",
            "fax_number": "979-297-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 OYSTER CREEK DR",
            "address_2": "STE 8A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664197",
            "telephone_number": "979-297-3882",
            "fax_number": "979-297-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASIEB",
        "first_name": "DAISY",
        "middle_name": "LUMABAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lozano, COTA
• Shiane Marie Lubin, AU.D.
• Edna Lucio, OT
• Raquel Victoria Lujan
• Thomas Mason Lunsford, MD
• Managed Vision Care Inc 042793
• Cynthia Ann Manders, D.D.S.
• Dorothy Manning
• Heidi M Mansy, NP
• Mark D Bonnen MD PA

• General Practice Dentistry in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.