Individual provider Active NPI

Kevin Rex Delane, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Round Rock, TX
National Provider Identifier
1124123955
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19420 Issued in TX
Practice address
16000 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone
(512) 733-8308
Fax
(512) 310-0451
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19420 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19420 TX Primary

Addresses

Primary practice location

16000 Park Valley Dr
Ste 100
Round Rock, TX 78681

Mailing address

7517 Cameron Road Suite 107
Longhorn Dental Associates PC
Austin, TX 78752
Phone (512) 371-1222

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
19420TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC Orthodontics and Dentofacial Orthopedics PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124123955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON ROAD SUITE 107",
            "address_2": "LONGHORN DENTAL ASSOCIATES PC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-371-1222",
            "fax_number": "512-371-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PARK VALLEY DR",
            "address_2": "STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-733-8308",
            "fax_number": "512-310-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANE",
        "first_name": "KEVIN",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19420",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "19420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.