NPIMap

Organization Active NPI

Lifetime Smiles, PLLC

  • Dentist
  • Austin, TX
National Provider Identifier
1023313616
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23982 Issued in TX
Legal business name
LIFETIME SMILES, PLLC
Practice address
2100 W William Cannon Dr
Suite C
Austin, TX 78745-4881
Phone
(512) 550-4400
Fax
(512) 284-8959
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Shahram S Arzegar, DDS
Title
President/ Owner
Phone
(512) 550-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23982 TX Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 22434 TX

Addresses

Primary practice location

2100 W William Cannon Dr
Suite C
Austin, TX 78745-4881

Mailing address

2100 W William Cannon Dr
Suite C
Austin, TX 78745-4881
Phone (512) 550-4400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1023313616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W WILLIAM CANNON DR",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454881",
            "telephone_number": "512-550-4400",
            "fax_number": "512-284-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W WILLIAM CANNON DR",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454881",
            "telephone_number": "512-550-4400",
            "fax_number": "512-284-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "ARZEGAR",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "512-550-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23982",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.