Active NPI
Lara Alexandra Perry, D.D.S.
- General Practice Dentistry
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22207
- Practice address
- 1929 W State Highway 46 Ste 102
New Braunfels, TX 78132-5337 - Phone
- (830) 460-3400
- Fax
- (830) 584-0500
- NPI assigned
- Jan 31, 2007
- Last updated
- Nov 17, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22207 | TX | Primary |
Addresses
Primary practice location
1929 W State Highway 46 Ste 102
New Braunfels, TX 78132-5337
Mailing address
81 Mission Dr
New Braunfels, TX 78130-6668
Phone (830) 730-6606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 1, 2021 through Nov 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22207 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lara a Perry DDS PA | General Practice | Current | Accepting new patients |
| Lara a Perry DDS PA | General Practice | Current | Accepting new patients |
| Lara a Perry DDS PA | Current | Accepting new patients |
Locations
1929 State Highway 46 W
Ste 102
New Braunfels, TX 78132
Phone (830) 460-3400
317 S State Highway 46
Seguin, TX 78155
Phone (830) 379-8902
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hill Country Dental
- General Practice Dentistry
- New Braunfels, TX
- NPI 1699215202
-
dba Hill Country Dental North
- Dental Clinic/Center
- New Braunfels, TX
- NPI 1982115317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1790822500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MISSION DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306668",
"telephone_number": "830-730-6606",
"fax_number": "830-379-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 W STATE HIGHWAY 46 STE 102",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781325337",
"telephone_number": "830-460-3400",
"fax_number": "830-584-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LARA",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.