Individual provider Active NPI

Lela Farmer, DDS

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1992154660
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30700 Issued in TX
Practice address
3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762
Phone
(210) 899-1099
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30700 TX
Pediatric Dentistry 1223P0221X 30700 TX Primary

Addresses

Primary practice location

3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762

Mailing address

3829 Lockhill Selma Rd Ste 105
San Antonio, TX 78230-1762
Phone (210) 899-1099

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
30700TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lela Farmer DDS MSD Pediatric Dentistry CurrentSince Jul 17, 2022 Accepting new patients
Villalon Callis Pediatric Dentistry & Orthodontic Partnership Pediatric Dentistry Past Accepting new patients

Locations

3829 Lockhill Selma Rd
Ste 105
San Antonio, TX 78230
Phone (210) 899-1099

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1992154660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301762",
            "telephone_number": "210-899-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301762",
            "telephone_number": "210-899-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "LELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30700",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.