Lone Star Dental & Medical Clinic P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONE STAR DENTAL & MEDICAL CLINIC P.A.

Practice address

8100 Roughrider Dr Ste 102
Windcrest, TX 78239-2455

Phone

(210) 549-4030

Fax

(210) 549-4051

NPI assigned

Jun 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Azita Khashayar, DMDNPI 1073836979

Title

Dentist / Owner

Phone

(210) 549-4030

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azita Khashayar, D.M.D.

  • Dentist
  • Windcrest, TX
  • NPI 1073836979
  NPD Authorized official
• Shahin Rezai, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1336243492
  NPD

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1871161380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROUGHRIDER DR STE 102",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392455",
            "telephone_number": "210-549-4030",
            "fax_number": "210-549-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ROUGHRIDER DR STE 102",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392455",
            "telephone_number": "210-549-4030",
            "fax_number": "210-549-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR DENTAL & MEDICAL CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "KHASHAYAR",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "210-549-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel King
• L&L Senior Home Care, Inc.
• Holly C Lacy, FNP-C
• Latched Support,Inc
• Anthony Ryan Lima, DMD
• Manuel Lopez Vazquez, M.D.
• Monica Segovia Lucio, LVN
• Lindsey Nicole Mackaron, DDS
• Pratyusha Malireddy, DDS
• Natalie Marquez

• General Practice Dentistry in Windcrest, TX
• Providers in Windcrest, 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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.