Lakeridge Family Dentistry & Orthodontics

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18984 Issued in TX

Legal business name

LAKERIDGE FAMILY DENTISTRY & ORTHODONTICS

Practice address

4222 98TH St
Lubbock, TX 79423-3957

Phone

(806) 794-4180

Fax

(806) 794-7690

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Trina Kay Snuggs

Title

Business Manager

Phone

(806) 794-4180

Specialties & licenses 1

Addresses

Other names 1

• Lakeridge Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Charles Hiner, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1225132715
  NPD (past)
• Philip Brian McNabb

  • Dentist
  • Lubbock, TX
  • NPI 1174681795
  NPD (past)
• Jeffrey Calvin Snuggs, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1376640433
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1972963957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 98TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233957",
            "telephone_number": "806-794-4180",
            "fax_number": "806-794-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 98TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233957",
            "telephone_number": "806-794-4180",
            "fax_number": "806-794-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKERIDGE FAMILY DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "SNUGGS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-794-4180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pavis Laengvejkal, MD
• Laura Lafreniere
• Christina Lain, B.S., SLPA
• Margaret Smith Lair, LCSW
• Tanya Michele Lair, NP
• Lakeridge Laboratory Inc
• Lakeside Senior Care LLC
• Lalavie LLC
• Judy Lalmuanpuii, MD
• Wailong Don Lam, PNP

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.