NPIMap

Organization Active NPI

Dripping Springs Pediatric Dental, PLLC

  • Pediatric Dentistry
  • Dripping Springs, TX
National Provider Identifier
1639610421
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC
Practice address
2440 E Highway 290. Building C, Suite B
Dripping Springs, TX 78620
Phone
(512) 676-4444
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Marty Montgomery, DMD
Title
Owner
Phone
(512) 676-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2440 E Highway 290. Building C, Suite B
Dripping Springs, TX 78620

Mailing address

505 E Huntland Dr Ste 340
Austin, TX 78752-3745
Phone (512) 206-2975

Other names 1

  • Lone Star Pediatric Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2440 E Highway 290
Ste B
Dripping Springs, TX 78620
Phone (512) 759-8011

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1639610421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E HUNTLAND DR STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523745",
            "telephone_number": "512-206-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E HIGHWAY 290. BUILDING C, SUITE B",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "78620",
            "telephone_number": "512-676-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-676-4444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.