Active NPI
Lakeway Dental Solutions. LLC
- Dentist
- Lakeway, TX
National Provider Identifier
1538749270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- LAKEWAY DENTAL SOLUTIONS. LLC
- Practice address
- 1310 Ranch Road 620 South
Ste. B6
Lakeway, TX 78734 - Phone
- (512) 263-0064
- Fax
- (512) 263-2402
- NPI assigned
- Apr 8, 2021
- Last updated
- Apr 8, 2021
- Organization subpart
- Yes
- Parent organization
- LAKEWAY DENTAL SOLUTIONS. LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brent D Dupper, DDS
- Title
- Dentist/ Owner
- Phone
- (512) 263-0064
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1310 Ranch Road 620 South
Ste. B6
Lakeway, TX 78734
Mailing address
1310 Ranch Road 620 South
Ste. B6
Lakeway, TX 78734
Phone (512) 263-0064
National Provider Directory
National Provider Directory- Part of
- Lakeway Dental Solutions LLC
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Dentist
- Lakeway, TX
- NPI 1942237284
-
- Dentist
- Lakeway, TX
- NPI 1679162523
-
- Dentist
- Lakeway, TX
- NPI 1952356552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1538749270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 RANCH ROAD 620 SOUTH",
"address_2": "STE. B6",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-263-0064",
"fax_number": "512-263-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 RANCH ROAD 620 SOUTH",
"address_2": "STE. B6",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78734",
"telephone_number": "512-263-0064",
"fax_number": "512-263-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWAY DENTAL SOLUTIONS. LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKEWAY DENTAL SOLUTIONS. LLC",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "DUPPER",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "512-263-0064",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
- Lake Travis Family & Cosmetic Dentistry PLLC (Lake Travis Dentistry)
- Lake Travis Oral & Maxillofacial Surgery, PLLC.
- Lake Travis Pediatric Dentistry
- Lake Travis Surgery Center LLC
- Lakeway Ambulatory Surgery Center, LLC (Lakeway Surgery Center)
- Lakeway Dermatology and Skin Cancer (Mary Ana Cunningham)
- Lakeway Era Acquistion Partners LLC (Vik Complete Care Lakeway)
- Lakeway Era Acquistion Partners LLC (VIK Complete Care Lakeway)
- Lakeway Eye Center PC
- Lakeway Eye Physicians and Surgeons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.