OrganizationActive
Port Lavaca Dentistry PLLC
NPI 1881005296 · Dentist · Port Lavaca, TX
Port Lavaca Dentistry PLLC is a Dentist organization in Port Lavaca, TX (NPI 1881005296).
Provider details
- NPI number
- 1881005296
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Paola Lopez, Payer Enrollment Team Lead(972) 869-3789
- License
- 27025 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1606 N Virginia St
Port Lavaca, TX 77979
Phone: (361) 552-5800
Fax: (888) 276-1646
Street-level locationGet directions
Mailing address
Attn: Credentialing
Carrollton, TX 75006
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Port Lavaca Dentistry PLLC's NPI number?
- Port Lavaca Dentistry PLLC's National Provider Identifier (NPI) is 1881005296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Lavaca Dentistry PLLC?
- Port Lavaca Dentistry PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Port Lavaca Dentistry PLLC located?
- Port Lavaca Dentistry PLLC's practice location on file with NPPES is 1606 N Virginia St, Port Lavaca, TX 77979.
- What is Port Lavaca Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Port Lavaca Dentistry PLLC is (361) 552-5800.
- Who is the authorized official for Port Lavaca Dentistry PLLC?
- The authorized official listed on Port Lavaca Dentistry PLLC's NPPES record is Paola Lopez, Payer Enrollment Team Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Lavaca Dentistry PLLC's NPI active?
- Yes — Port Lavaca Dentistry PLLC's NPI (1881005296) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.