Leisa Robotham-Reid PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEISA ROBOTHAM-REID PLLC

Doing business as

Lakewood Dental Studio

Practice address

6220 Gaston Ave Ste 600
Dallas, TX 75214-4345

Phone

(917) 873-2500

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Leisa Robotham-Reid, DDS

Title

Managing Member

Phone

(917) 873-2500

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leisa Robotham, DDS

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1326570912
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1689340192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CABELL DR APT 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040001",
            "telephone_number": "917-873-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 GASTON AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144345",
            "telephone_number": "917-873-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISA ROBOTHAM-REID PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBOTHAM-REID",
        "authorized_official_first_name": "LEISA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-873-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Porter Leifeste
• Ryan A Leiker, PH.D., MA
• Herbert Irwin Leiman, M.D.
• Meghan M Leinauer, M.D.
• Vera Leipold, M.ED., LPC-INTERN
• Trina Joyce Leise, CRNA
• Jennifer Renee Leister, MA
• Ann Marilyn Leitch, MD
• Robert Bruce Leitch, MD
• Jessica Leiva

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.