NPIMap

Organization Active NPI

Lake View Dental Center

  • Dental Clinic/Center
  • Mineola, TX
National Provider Identifier
1699953349
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKE VIEW DENTAL CENTER
Practice address
1800 S Pacific St
Mineola, TX 75773-2800
Phone
(903) 569-5569
Fax
(903) 569-1601
NPI assigned
Feb 5, 2008
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mrs. Debbie D Priddy
Title
Business Manager
Phone
(903) 569-5569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1800 S Pacific St
Mineola, TX 75773-2800

Mailing address

1800 S Pacific St
Mineola, TX 75773-2800
Phone (903) 569-5569

National Provider Directory

National Provider Directory

Locations

1800 S Pacific St
Mineola, TX 75773
Phone (903) 569-5569

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1699953349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732800",
            "telephone_number": "903-569-5569",
            "fax_number": "903-569-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732800",
            "telephone_number": "903-569-5569",
            "fax_number": "903-569-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "PRIDDY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "903-569-5569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.