Rising Stars Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RISING STARS PEDIATRIC DENTISTRY, PLLC

Practice address

4308 N Quinlan Park
Ste 201
Austin, TX 78732

Phone

(512) 266-7200

Fax

(512) 266-6197

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Freeze, DMD

Title

Pediatric Dentist

Phone

(512) 266-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Michelle L Freeze DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michelle L. Freeze, DMD, PLLC

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1912025354
  NPD tax ID

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1730282633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK",
            "address_2": "STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78732",
            "telephone_number": "512-266-7200",
            "fax_number": "512-266-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK",
            "address_2": "STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78732",
            "telephone_number": "512-266-7200",
            "fax_number": "512-266-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "512-266-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1620639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise Up Home Care LLC
• Rise Up Therapy, PLLC
• Naquasha Riser, LPC
• Rising Stars Ortho Lakeline, PLLC
• Rising Stars PD Lakeline, PLLC
• Hope Hui Rising, PHD, LMT
• Christy Risinger, M.D.
• Norman E Risinger, M.D.
• Kimberly Denise Risley, L.P.C.
• Michael Ristagno III

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.