Lake Travis Family & Cosmetic Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23378 Issued in TX

Legal business name

LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC

Doing business as

Lake Travis Dentistry

Practice address

1605 RR 620 N
Ste 300
Lakeway, TX 78734-2695

Phone

(512) 382-6985

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Panahi, DDS

Title

Owner/Dentist

Phone

(512) 382-6985

Specialties & licenses 1

Addresses

Other names 1

• Lake Travis Dentistry Doing business as

Locations

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1790047215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 RR 620 N",
            "address_2": "STE 300",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342695",
            "telephone_number": "512-382-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 RR 620 N",
            "address_2": "STE 300",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342695",
            "telephone_number": "512-382-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "PANAHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-382-6985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Travis Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Parker Laborde
• Lake Travis Chiropractic (620 Chiropractic Center)
• Lake Travis Chiropractic, PLLC
• Lake Travis Counseling Connection PLLC
• Lake Travis Eye and Laser Center, PA
• Lake Travis Oral & Maxillofacial Surgery, PLLC.
• Lake Travis Pediatric Dentistry
• Lake Travis Surgery Center LLC
• Lakeway Ambulatory Surgery Center, LLC (Lakeway Surgery Center)
• Lakeway Dental Solutions. LLC

• General Practice Dentistry in Lakeway, TX
• Providers in Lakeway, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.