LSPD at Killeen, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LSPD AT KILLEEN, PLLC

Practice address

1103 West Stan Schlueter Loop Suite B-800
Killeen, TX 76549

Phone

(512) 676-4444

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Addresses

Other names 1

• Lone Star Pediatric Dental Doing business as

Locations

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": "1740721471",
    "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": "1103 WEST STAN SCHLUETER LOOP SUITE B-800",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "512-676-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSPD AT KILLEEN, 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"
        }
    ]
}

• Lowes Boulevard Family Dentistry, PLLC
• Lowes Boulevard Vision
• Patricia Ann Lowry, LBSW
• Israel Lozada Jr., LMT, LMI
• Gabriella Ann Lozano
• Thomas Allen Lucas Jr., O.D.
• Tonya Lucas, LPC
• Vilmarie Lucca Rodriguez
• Peggy Luciano
• Henry Charles Lucksinger Jr., DDS

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

• 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.