Active NPI
Lisa McGlone, D.D.S.
- General Practice Dentistry
- El Campo, TX
National Provider Identifier
1962490151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19868
- Practice address
- 1108 N Mechanic St
El Campo, TX 77437-3030 - Phone
- (979) 541-5400
- NPI assigned
- Oct 11, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19868 | TX | Primary |
Addresses
Primary practice location
1108 N Mechanic St
El Campo, TX 77437-3030
Mailing address
1108 N Mechanic St
El Campo, TX 77437-3030
Phone (979) 541-5400
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 |
|---|---|---|---|
| 19868 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Apollonia Medicaid Dental Clinic of Texas, PA | General Practice | Past | Accepting new patients |
| Willis 1 Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- El Campo, TX
- NPI 1447427422
General Practice
-
- Dental Clinic/Center
- El Campo, TX
- NPI 1922553759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1962490151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 N MECHANIC ST",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774373030",
"telephone_number": "979-541-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 N MECHANIC ST",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774373030",
"telephone_number": "979-541-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLONE",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Campo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.