Active NPI
Lydia Cecilia Ausberry, D.D.S.
- Dentist
- Lake Worth, TX
National Provider Identifier
1801026653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41186
- Practice address
- 6628 Lake Worth Blvd Ste 200
Lake Worth, TX 76135-3020 - Phone
- (817) 238-7984
- NPI assigned
- Jul 14, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 41186 | TX | Primary |
Addresses
Primary practice location
6628 Lake Worth Blvd Ste 200
Lake Worth, TX 76135-3020
Mailing address
115 W Stagecoach TRL
Weatherford, TX 76085-8356
Phone (202) 378-7089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170621001418 | NM | Order and Referring Only - Dentist | 6305114059 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41186 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1801026653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W STAGECOACH TRL",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760858356",
"telephone_number": "202-378-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6628 LAKE WORTH BLVD STE 200",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761353020",
"telephone_number": "817-238-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSBERRY",
"first_name": "LYDIA",
"middle_name": "CECILIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.