Active NPI
Lonestar Braces PLLC
- Dental Clinic/Center
- Converse, TX
National Provider Identifier
1285355115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LONESTAR BRACES PLLC
- Practice address
- 9163 FM 78 Ste 1
Converse, TX 78109-2148 - Phone
- (210) 971-8989
- NPI assigned
- Sep 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khushbu Malhotra, DMD
- Title
- Assistant Director
- Phone
- (617) 834-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
9163 FM 78 Ste 1
Converse, TX 78109-2148
Mailing address
10615 Ysamy Way
San Antonio, TX 78213-1659
National Provider Directory
National Provider DirectoryLocations
9163 FM 78
Ste 1
Converse, TX 78109
Phone (210) 971-8989
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Converse, TX
- NPI 1134659931
-
- Dentist
- Converse, TX
- NPI 1346799160
-
- Dentist
- Converse, TX
- NPI 1013466838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1285355115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 YSAMY WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9163 FM 78 STE 1",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092148",
"telephone_number": "210-971-8989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONESTAR BRACES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-08",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "MALHOTRA",
"authorized_official_first_name": "KHUSHBU",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "617-834-4646",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.