Organization Active NPI

Kelsi Lewis DDS PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1326640236
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELSI LEWIS DDS PLLC
Practice address
7717 Southwest Pkwy # 250
Austin, TX 78735-8994
Phone
(409) 771-1166
NPI assigned
Nov 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Kelsi LewisNPI 1811418486
Title
DDS
Phone
(409) 771-1166

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7717 Southwest Pkwy # 250
Austin, TX 78735-8994

Mailing address

7717 Southwest Pkwy Ste 150
Austin, TX 78735-9007
Phone (512) 572-4842

Other names 1

  • Glow Dental Co. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TBD

National Provider Directory

National Provider Directory

Locations

7717 Southwest Pkwy
Ste 150
Austin, TX 78735
Phone (512) 572-4842

7717 Southwest Pkwy
#250
Austin, TX 78735
Phone (409) 771-1166

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1326640236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 SOUTHWEST PKWY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787359007",
            "telephone_number": "512-572-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 SOUTHWEST PKWY # 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358994",
            "telephone_number": "409-771-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSI LEWIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KELSI",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "409-771-1166"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TBD",
            "affiliation": "N",
            "address_1": "7717 Southwest Pkwy # 250",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Glow Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.