Lone Star Pediatric Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24217 Issued in TX

Legal business name

LONE STAR PEDIATRIC DENTAL, PLLC

Practice address

2700 S 1St St
Austin, TX 78704-5421

Phone

(512) 442-4338

Fax

(512) 442-6074

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marty R Montgomery, DMDNPI 1679730683

Title

Owner

Phone

(512) 442-4338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marty Montgomery, DMD

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1679730683
  Authorized official Same address or phone

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1376854364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045421",
            "telephone_number": "512-442-4338",
            "fax_number": "512-442-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045421",
            "telephone_number": "512-442-4338",
            "fax_number": "512-442-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PEDIATRIC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-442-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Endoscopy of Austin, PLLC
• Lone Star Eye PLLC
• Lone Star Oncology Consultants, PA
• Lone Star Orthodontics, P.a.
• Lone Star Pediatric Dental and Braces
• Lone Star Urogynecology and Continence Center, PLLC (Central Texas Urogynecology and Continence Center, PLLC)
• Lone Star Urology PLLC
• Gael Lonergan, MD
• Lonestar Anesthesia of Austin, PLLC
• Lonestar Behavior Collaborative, LLC

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.