Active NPI
Camille Rogers Lahue, D.D.S.
- Pediatric Dentistry
- Roanoke, TX
National Provider Identifier
1902193048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 24775
- Practice address
- 1224 N Highway 377
Suite 211
Roanoke, TX 76262-9103 - Phone
- (817) 837-4545
- NPI assigned
- Jul 8, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24775 | TX | Primary |
Addresses
Primary practice location
1224 N Highway 377
Suite 211
Roanoke, TX 76262-9103
Mailing address
1224 N Highway 377
Suite 211
Roanoke, TX 76262-9103
Phone (817) 837-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24775 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1902193048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 N HIGHWAY 377",
"address_2": "SUITE 211",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762629103",
"telephone_number": "817-837-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 N HIGHWAY 377",
"address_2": "SUITE 211",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762629103",
"telephone_number": "817-837-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAHUE",
"first_name": "CAMILLE",
"middle_name": "ROGERS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "24775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.