Active NPI
Lisa K Attaway, D.D.S.
- Dentist
- Rockwall, TX
National Provider Identifier
1992849277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16323
- Practice address
- 3014 Ridge Rd
Rockwall, TX 75032-5805 - Phone
- (972) 772-3900
- Fax
- (972) 772-4486
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16323 | TX | Primary |
Addresses
Primary practice location
3014 Ridge Rd
Rockwall, TX 75032-5805
Mailing address
509 Pine Island Cir
Rockwall, TX 75032-5890
Phone (972) 772-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 4, 2015 through Nov 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16323 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992849277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 PINE ISLAND CIR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750325890",
"telephone_number": "972-772-3900",
"fax_number": "972-772-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 RIDGE RD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750325805",
"telephone_number": "972-772-3900",
"fax_number": "972-772-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTAWAY",
"first_name": "LISA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.