Active NPI
Galen Edmund Lacy, DDS
- Dentist
- Nederland, TX
National Provider Identifier
1922128107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16916
- Practice address
- 3216 Nederland Ave
Nederland, TX 77627-7025 - Phone
- (409) 727-2482
- Fax
- (409) 721-9379
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 16916 | TX | Primary |
Addresses
Primary practice location
3216 Nederland Ave
Nederland, TX 77627-7025
Mailing address
3216 Nederland Ave
Nederland, TX 77627-7025
Phone (409) 727-2482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 30, 2017 through Jan 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16916 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922128107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 NEDERLAND AVE",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776277025",
"telephone_number": "409-727-2482",
"fax_number": "409-721-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NEDERLAND AVE",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776277025",
"telephone_number": "409-727-2482",
"fax_number": "409-721-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "GALEN",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nederland, TX
- Kotzur Huber LLP (Mid County Family Clinic)
- KR Wellness Solutions PA (Standard Medical Group of Southeast Texas)
- Baylor W Kurtis
- Kyler Counseling PLLC
- Robert G. Kyler, M.A.,LPC
- Brian Eric Lecompte, MD
- John Henry Lee, D.O.
- Bethany Butler Lemen
- Letourneau Lifelike Orthotics & Prosthetics, Inc.
- Jose Vicente Paloma Limjoco, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.