Lemon Tree Dental - Canyon Golf, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22472 Issued in TX

Legal business name

LEMON TREE DENTAL - CANYON GOLF, PLLC

Practice address

26112 Overlook Pkwy
Ste. 1108
San Antonio, TX 78260

Phone

(210) 520-3400

Fax

(210) 520-3424

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Wendy L Hickey

Title

Insurance Billing/Collections

Phone

(210) 520-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Katherine R. Timlin, DMD

  • Dentist
  • San Antonio, TX
  • NPI 1700227071
  NPD (past)
• Kyu Mee Yo, DMD

  • Dentist
  • San Antonio, TX
  • NPI 1164773420
  NPD (past)
• Aaron Avery Wood, D.D.S.

  • Dentist
  • Alpine, UT
  • NPI 1356662183
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1982931564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6989 ALAMO DOWNS PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384522",
            "telephone_number": "210-520-3400",
            "fax_number": "210-520-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26112 OVERLOOK PKWY",
            "address_2": "STE. 1108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78260",
            "telephone_number": "210-520-3400",
            "fax_number": "210-520-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON TREE DENTAL - CANYON GOLF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE BILLING/COLLECTIONS",
        "authorized_official_telephone_number": "210-520-3400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Lemke, D.D.S., M.D.
• Jennifer Alison Lemmer, PHD, MPH
• Mary M Lemmons, LCSW
• Haylee Madison Lemoine
• Lemon Creek Smiles Dentistry, PC
• Christopher Lemon
• Lily Sulema Lemus Martinez, DDS
• Rosie Lemus, FNP
• Lena's Love Hospice LLC
• Michelle Lende

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Nov 3, 2009; 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.