Lake Austin Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKE AUSTIN FAMILY DENTAL, PLLC

Doing business as

Lake Austin Family Dental

Practice address

2504 Lake Austin Blvd
Austin, TX 78703-4455

Phone

(512) 474-5233

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Jaquelyn Morris, DDS

Title

Owner

Phone

(512) 474-5233

Specialties & licenses 1

Addresses

Other names 1

• Lake Austin Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn Wallace Morris, DDS

  • Dentist
  • Austin, TX
  • NPI 1639259682
  NPD (past)
• Janelle Moser-Harris, DDS

  • Dentist
  • Austin, TX
  • NPI 1598812125
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1144557497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034455",
            "telephone_number": "512-474-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AUSTIN FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JAQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-474-5233",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Austin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romeo A Lainez, MD
• Yvette Ricks Lainez, CRNA
• Sara A. Laipis Eno, SLP
• Chiquitha A Laird, RN, NP-BC.
• Lake Austin Eye PLLC
• Lake Creek Christian Counseling Center
• Lake Creek Dental
• Lake Mi Mobile Doctors P.C.
• Lake Pointe Dental Associates, PA
• Lake Travis Anesthesiology, PA

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.