Individual provider Active NPI

Corey Steven Romero, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeway, TX
National Provider Identifier
1891289179
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
36131 Issued in TX
Practice address
3313 Ranch Road 620 S Ste 300
Lakeway, TX 78738-6871
Phone
(512) 255-5900
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 36131 TX Primary

Addresses

Primary practice location

3313 Ranch Road 620 S Ste 300
Lakeway, TX 78738-6871

Mailing address

4100 E 51St St Ste 300
Austin, TX 78723-4767
Phone (512) 737-6648

Other practice location 1

4100 E 51st St Ste 300
Austin, TX 78723-4767
Phone (512) 737-6648

Other practice location 2

1500 S A W Grimes Blvd Ste 190
Round Rock, TX 78664-7843
Phone (512) 255-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36131TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Corey S. Romero DDS PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 25, 2025 Accepting new patients
Specialty Dental Management LLC Orthodontics and Dentofacial Orthopedics PastSince Aug 25, 2025 Accepting new patients
S & N Dental PastSince Jul 1, 2020 Accepting new patients
North Austin Pediatric Dental, PLLC PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1891289179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E 51ST ST STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234767",
            "telephone_number": "512-737-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 RANCH ROAD 620 S STE 300",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787386871",
            "telephone_number": "512-255-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 E 51st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787234767",
            "country_code": "US",
            "telephone_number": "512-737-6648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S A W Grimes Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647843",
            "country_code": "US",
            "telephone_number": "512-255-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "COREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "36131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.