Crescent Dental-Lockhart PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRESCENT DENTAL-LOCKHART PLLC

Practice address

1906 S Colorado St Ste 110
Lockhart, TX 78644-3906

Phone

(512) 398-7070

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Jaros, D.M.D.

  • Dentist
  • Lockhart, TX
  • NPI 1609256106
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1881041507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LACY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 S COLORADO ST STE 110",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443906",
            "telephone_number": "512-398-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DENTAL-LOCKHART PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Action, Inc. of Central Texas
• Community Health Centers of South Central Texas Inc. (Lockhart Family Practice Center)
• Connect Transit LLC
• Melissa Michele Contreras, LPC
• Michelle Stephanie Cosme, DDS
• Suzanna Dana, M.D.
• Bo Davis, PHARM D.
• Christopher Andrew Day, PA-C
• Vanessa De Leon
• Dorothy A Dean, FNP-BC/PMHNP

• Dentist in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.