Lake Lewisville Pediatrics, LLP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LAKE LEWISVILLE PEDIATRICS, LLP

Practice address

2141 S Edmonds LN
Lewisville, TX 75067-6162

Phone

(972) 315-8500

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Glen OgdenNPI 1750386850

Title

MD

Phone

(972) 315-8500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John G. Ogden, M.D.

  • Pediatrics Physician
  • Lewisville, TX
  • NPI 1750386850
  NPD (past) Authorized official
• Kathryn Hasson Levy, M.D.

  • Pediatrics Physician
  • Lewisville, TX
  • NPI 1013912013
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649471814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S EDMONDS LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676162",
            "telephone_number": "972-315-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S EDMONDS LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676162",
            "telephone_number": "972-315-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE LEWISVILLE PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-315-8500"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunu Joseph Kwon, DC
• La Neurological Monitoring Assoc.
• Hailee Labrum
• Ladent Dental PLLC
• Kristina Marie Lai, MOT, OTR
• Lakeview Vision LLC
• Lakewood Hills Dental, PLLC
• Mahwish Lakhani
• Yasmin Lakhani, NP
• Nicole Lal, PA-C

• Primary Care Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.