Lakeway Dental Office, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

15663 Issued in TX

Legal business name

LAKEWAY DENTAL OFFICE, P.A.

Practice address

2220 Lakeway Blvd.
Suite 200
Austin, TX 78734-5132

Phone

(512) 261-5522

Fax

(512) 261-7084

NPI assigned

May 4, 2016

Last updated

May 4, 2016By 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

Dr. Robert Victor Robinson, DDSNPI 1356461966

Title

Owner

Phone

(512) 261-5522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert V Robinson, D.D.S

  • General Practice Dentistry
  • Lakeway, TX
  • NPI 1356461966
  NPD (past) Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1790130177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LAKEWAY BLVD.",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345132",
            "telephone_number": "512-261-5522",
            "fax_number": "512-261-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LAKEWAY BLVD.",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787345132",
            "telephone_number": "512-261-5522",
            "fax_number": "512-261-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY DENTAL OFFICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-261-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lake
• Lakecreek Family Dental (Lakecreek Family Dental Care and Orthodontics)
• Lakeline Ranch Dental
• Lakeline Ranch Dental
• Lakeview Family Health Clinic
• Lakeway Pediatric Dental, PLLC (Lone Star Pediatric Dental)
• Lakeway Psychiatry and Behavioral Health
• Lakeway Smiles
• Lakeway Spine Center, Inc. (Lake Travis Spine Center)
• Hina Lakhani

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.