NPIMap

Organization Active NPI

Lakeline Ranch Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1851553101
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21373 Issued in TX
Legal business name
LAKELINE RANCH DENTAL
Practice address
10900 Lakeline Mall Dr
Suite 250
Austin, TX 78717-5924
Phone
(512) 583-0700
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Elizabeth Lavagni Lowery, DDS
Title
President
Phone
(512) 583-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21373 TX Primary

Addresses

Primary practice location

10900 Lakeline Mall Dr
Suite 250
Austin, TX 78717-5924

Mailing address

10900 Lakeline Mall Dr
Suite 250
Austin, TX 78717-5924
Phone (512) 583-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1851553101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LAKELINE MALL DR",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175924",
            "telephone_number": "512-583-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LAKELINE MALL DR",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175924",
            "telephone_number": "512-583-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELINE RANCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LAVAGNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-583-0700",
        "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": "21373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.