Individual provider Active NPI

Sara Lindley, DDS

  • Dentist
  • Kingsland, TX
National Provider Identifier
1922451723
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31977 Issued in TX
Practice address
4012 W Ranch Road 1431
Kingsland, TX 78639-3253
Phone
(325) 388-4694
Fax
(325) 388-4694
NPI assigned
Jul 15, 2016
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31977 TX Primary

Addresses

Primary practice location

4012 W Ranch Road 1431
Kingsland, TX 78639-3253

Mailing address

PO Box 989
Kingsland, TX 78639-0989
Phone (325) 388-4694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170406001660 TX Order and Referring Only - DentistPractitioner - Dentist 6608152673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31977TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1922451723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786390989",
            "telephone_number": "325-388-4694",
            "fax_number": "325-388-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 W RANCH ROAD 1431",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786393253",
            "telephone_number": "325-388-4694",
            "fax_number": "325-388-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "SARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, TX

Sources for this page

Verify at the official NPI Registry.