Lake Creek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9493 Issued in TX

Legal business name

LAKE CREEK DENTAL

Practice address

10418 Lake Creek Pkwy
Austin, TX 78750-1226

Phone

(512) 258-2233

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy Rice, ADMINISTRATIVE

Title

Administrative

Phone

(512) 285-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861536161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501226",
            "telephone_number": "512-258-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10418 LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501226",
            "telephone_number": "512-258-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "512-285-2233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATIVE"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara A. Laipis Eno, SLP
• Chiquitha A Laird, RN, NP-BC.
• Lake Austin Eye PLLC
• Lake Austin Family Dental, PLLC
• Lake Creek Christian Counseling Center
• Lake Mi Mobile Doctors P.C.
• Lake Pointe Dental Associates, PA
• Lake Travis Anesthesiology, PA
• Lake Travis Dentistry PLLC
• Lake Travis Emergency Physicians, PLLC

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Aug 22, 2020; 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.