Rising Stars Ortho Lakeline, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

RISING STARS ORTHO LAKELINE, PLLC

Practice address

14005 US 183
Suite 800
Austin, TX 78717

Phone

(512) 266-7200

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By 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

Serenthes Fields

Title

Credentialing Specialist

Phone

(407) 684-3738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1639957251",
    "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",
            "telephone_number": "512-266-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14005 US 183",
            "address_2": "SUITE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-266-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS ORTHO LAKELINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "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": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Healthcare LLC
• Rise Integrative Psychotherapy
• Rise Up Home Care LLC
• Rise Up Therapy, PLLC
• Naquasha Riser, LPC
• Rising Stars PD Lakeline, PLLC
• Rising Stars Pediatric Dentistry, PLLC
• Hope Hui Rising, PHD, LMT
• Christy Risinger, M.D.
• Norman E Risinger, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.