Individual provider Active NPI

Anthony Ryan Lima, DMD

  • Dentist
  • Windcrest, TX
National Provider Identifier
1982279386
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38303 Issued in TX
Practice address
8211 Roughrider Dr
Windcrest, TX 78239-2446
Phone
(210) 657-0101
NPI assigned
May 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 38303 TX Primary

Addresses

Primary practice location

8211 Roughrider Dr
Windcrest, TX 78239-2446

Mailing address

8211 Roughrider Dr
Windcrest, TX 78239-2446
Phone (210) 657-0101

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

LicenseStateTypeSpecialty
38303TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates of Texas, PC CurrentSince Sep 20, 2022 Accepting new patients
Windcrest Cosmetic and General Dentistry Center LLP CurrentSince Sep 20, 2022 Accepting new patients

Locations

8211 Roughrider Dr
Windcrest, TX 78239
Phone (210) 655-9497

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1982279386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 ROUGHRIDER DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392446",
            "telephone_number": "210-657-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 ROUGHRIDER DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392446",
            "telephone_number": "210-657-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "ANTHONY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.