Individual provider Active NPI

Lydia Cecilia Ausberry, D.D.S.

  • Dentist
  • Lake Worth, TX
National Provider Identifier
1801026653
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41186 Issued in TX
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

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621001418 NM Order and Referring Only - DentistPractitioner - Dentist 6305114059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41186TXMDSpeech-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

Verify at the official NPI Registry.