Lake Dallas Family Medicine PLLC
NPI 1871158907 · Family Nurse Practitioner · Lake Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Dallas Family Medicine PLLC is a Family Nurse Practitioner organization in Lake Dallas, TX (NPI 1871158907).
Provider details
- NPI number
- 1871158907
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carmen White, Owner(214) 908-6012
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2019-06-19
Frequently asked questions
- What is Lake Dallas Family Medicine PLLC's NPI number?
- Lake Dallas Family Medicine PLLC's National Provider Identifier (NPI) is 1871158907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Dallas Family Medicine PLLC?
- Lake Dallas Family Medicine PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lake Dallas Family Medicine PLLC located?
- Lake Dallas Family Medicine PLLC's practice location on file with NPPES is 503 Main St Ste C, Lake Dallas, TX 75065-2878.
- What is Lake Dallas Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Dallas Family Medicine PLLC is (940) 535-5296.
- Does Lake Dallas Family Medicine PLLC accept Medicare?
- Lake Dallas Family Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Dallas Family Medicine PLLC?
- The authorized official listed on Lake Dallas Family Medicine PLLC's NPPES record is Carmen White, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Dallas Family Medicine PLLC's NPI active?
- Yes — Lake Dallas Family Medicine PLLC's NPI (1871158907) is active in the NPPES registry as of the last update on 2019-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.