Active NPI
Rising Stars Ortho Marble Falls, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Marble Falls, TX
National Provider Identifier
1508643446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- RISING STARS ORTHO MARBLE FALLS, PLLC
- Practice address
- 608 Gateway Central Ste 201
Marble Falls, TX 78654-6356 - Phone
- (830) 693-7044
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serenthes Fields
- Title
- Credentialing Specialist
- Phone
- (407) 684-3738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
608 Gateway Central Ste 201
Marble Falls, TX 78654-6356
Mailing address
10824 E Crystal Falls Pkwy Ste 203
Leander, TX 78641-4301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1508643446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10824 E CRYSTAL FALLS PKWY STE 203",
"city": "LEANDER",
"state": "TX",
"postal_code": "786414301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 GATEWAY CENTRAL STE 201",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786546356",
"telephone_number": "830-693-7044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING STARS ORTHO MARBLE FALLS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "SERENTHES",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "407-684-3738"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.