Individual provider Active NPI

Lauren Olivia Soomar, DDS

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1407338874
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34368 Issued in TX
Practice address
3701 Gattis School Road
Suite 100
Round Rock, TX 78664
Phone
(512) 716-3101
Fax
(512) 369-3476
NPI assigned
Sep 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34368 TX Primary

Addresses

Primary practice location

3701 Gattis School Road
Suite 100
Round Rock, TX 78664

Mailing address

1409 Singleton Ave
Unit a
Austin, TX 78702
Phone (956) 428-5322

Other names 1

  • Lauren Siegert Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34368TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Side Dental Austin General Practice Past Accepting new patients
Raj Dental Inc PastSince Mar 4, 2021 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": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1407338874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 SINGLETON AVE",
            "address_2": "UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "956-428-5322",
            "fax_number": "956-428-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 GATTIS SCHOOL ROAD",
            "address_2": "SUITE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-716-3101",
            "fax_number": "512-369-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOMAR",
        "first_name": "LAUREN",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SIEGERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.