Active NPI
Lizania Montero, DMD
- Pediatric Dentistry
- Manor, TX
National Provider Identifier
1710326434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 28823
- Practice address
- 11300 Hwy 290 E
Suite 200
Manor, TX 78653 - Phone
- (512) 765-6649
- NPI assigned
- Jun 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 28823 | TX | Primary |
Addresses
Primary practice location
11300 Hwy 290 E
Suite 200
Manor, TX 78653
Mailing address
11300 Hwy 290 East
Building 2, Suite 200
Manor, TX 78653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28823 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LLS PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Manor, TX
- NPI 1588010839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1710326434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 HWY 290 EAST",
"address_2": "BUILDING 2, SUITE 200",
"city": "MANOR",
"state": "TX",
"postal_code": "78653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 HWY 290 E",
"address_2": "SUITE 200",
"city": "MANOR",
"state": "TX",
"postal_code": "78653",
"telephone_number": "512-765-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "LIZANIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-15",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "28823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.