Lindsey Alexander-Varghese, DMD
Individual provider
Active NPI
Dentist · The Woodlands, TX
NPI 1891885828 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1891885828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 26484 (TX)
- Practice address
- 9595 Six Pines Dr
Suite 1370
The Woodlands, TX 77380-1531
- Phone
- (281) 298-2433
- Fax
- (281) 298-2932
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20150728003090 |
TX |
Order and Referring Only - Dentist
Practitioner - Dentist |
1456665009 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 26484 | TX | MD | Dentist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
26484 |
TX |
Yes |
Addresses
Primary practice location
9595 Six Pines Dr
Suite 1370
The Woodlands, TX 77380-1531
Mailing address
9595 Six Pines Dr
Suite 1370
The Woodlands, TX 77380-1531
Phone (281) 298-2433
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 26484 | Other | TX | TEXAS LICENSE |
Other names
- Dr. Lindsey Alexander Other name