NPIMap

Organization Active NPI

Healthy Smiles of Lakeway

  • Dentist
  • Lakeway, TX
National Provider Identifier
1174675292
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21080 Issued in TX
Legal business name
HEALTHY SMILES OF LAKEWAY
Practice address
2422 RR 620 South
#A 126
Lakeway, TX 78734
Phone
(512) 263-8989
Fax
(512) 263-9095
NPI assigned
Jan 17, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kirsten M Gosney, DDSNPI 1275797615
Title
Owner Dentist
Phone
(512) 263-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21080 TX Primary

Addresses

Primary practice location

2422 RR 620 South
#A 126
Lakeway, TX 78734

Mailing address

2422 RR 620 South
#A 126
Lakeway, TX 78734
Phone (512) 263-8989

Other names 1

  • Dr Kirsten M Gosney DDS Other name

National Provider Directory

National Provider Directory

Locations

2422 Ranch Road 620 S
Ste A126
Lakeway, TX 78738
Phone (512) 263-8989

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1174675292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 RR 620 SOUTH",
            "address_2": "#A 126",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-263-8989",
            "fax_number": "512-263-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 RR 620 SOUTH",
            "address_2": "#A 126",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-263-8989",
            "fax_number": "512-263-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF LAKEWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GOSNEY",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "512-263-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Kirsten M Gosney DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.