Organization Active NPI

Belton Pediatric Dental PLLC

Doing business as Lone Star Pediatric Dental PLLC

  • Pediatric Dentistry
  • Belton, TX
National Provider Identifier
1740682467
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BELTON PEDIATRIC DENTAL PLLC
Doing business as
Lone Star Pediatric Dental PLLC
Practice address
412 Lake Belton Rd
Belton, TX 76513
Phone
(512) 442-4338
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Claudia Woolford
Title
General Manager
Phone
(512) 221-7462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

412 Lake Belton Rd
Belton, TX 76513

Mailing address

412 Lake Belton Rd
Belton, TX 76513

Other names 1

  • Lone Star Pediatric Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

412 Lake Rd
Belton, TX 76513
Phone (254) 791-5147

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1740682467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 LAKE BELTON RD",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "76513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LAKE BELTON RD",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "76513",
            "telephone_number": "512-442-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTON PEDIATRIC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "WOOLFORD",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "512-221-7462"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Pediatric Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.