Active NPI
Lauren N. Powell, DDS
- Dentist
- Lakeway, TX
National Provider Identifier
1306225602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38212
- Practice address
- 3315 Ranch Road 620 S Ste 250
Lakeway, TX 78738-6873 - Phone
- (512) 402-9090
- Fax
- (512) 402-9091
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60635081 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RR60560221 | WA | |
| Dentist | 122300000X | 38212 | TX | Primary |
Addresses
Primary practice location
3315 Ranch Road 620 S Ste 250
Lakeway, TX 78738-6873
Mailing address
3315 Ranch Road 620 S Ste 250
Lakeway, TX 78738-6873
Phone (512) 402-9090
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38212 | TX | MD | Pharmacist |
| RR60560221 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Dentistry PLLC | Past | Accepting new patients | |
| Mannem & Associates, Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1306225602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 RANCH ROAD 620 S STE 250",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787386873",
"telephone_number": "512-402-9090",
"fax_number": "512-402-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 RANCH ROAD 620 S STE 250",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787386873",
"telephone_number": "512-402-9090",
"fax_number": "512-402-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "LAUREN",
"middle_name": "N.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60635081",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "RR60560221",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 18, 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.