NPIMap

Organization Active NPI

Lago Vista Family Dentistry, Inc.

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1295466274
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAGO VISTA FAMILY DENTISTRY, INC.
Practice address
1907 S US-183, Suite 206
Leander, TX 78641
Phone
(512) 817-4940
Fax
(512) 817-4955
NPI assigned
Jun 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Megan Brandt
Title
Regional Manager
Phone
(512) 817-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1907 S US-183, Suite 206
Leander, TX 78641

Mailing address

1907 S US-183, Suite 206
Leander, TX 78641
Phone (512) 817-4940

National Provider Directory

National Provider Directory
Tax ID family
Lago Vista Family Dentistry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1907 S Highway 183
Ste 206
Leander, TX 78641
Phone (512) 817-4940

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1295466274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S US-183, SUITE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-817-4940",
            "fax_number": "512-817-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S US-183, SUITE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-817-4940",
            "fax_number": "512-817-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGO VISTA FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "512-817-4940"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.