Lisa Haberman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38594 Issued in TX

Practice address

905 E Highway 82 Ste 120
Gainesville, TX 76240-2269

Phone

(940) 580-2856

NPI assigned

Jun 8, 2022

Last updated

Jan 18, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1710616289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E HIGHWAY 82 STE 120",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E HIGHWAY 82 STE 120",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402269",
            "telephone_number": "940-580-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Parkplace Dr",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762262228",
            "country_code": "US",
            "telephone_number": "903-806-9514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Gainesville, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.