Rising Stars PD Lakeline, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RISING STARS PD LAKELINE, PLLC

Practice address

14005 N Hwy 183 Ste 800
Austin, TX 78717-5960

Phone

(512) 266-7200

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Serenthes Fields

Title

Credentialing Specialist

Phone

(407) 684-3738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1912780461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 N HWY 183 STE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175960",
            "telephone_number": "512-266-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14005 N HWY 183 STE 800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175960",
            "telephone_number": "512-266-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS PD LAKELINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SERENTHES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "407-684-3738"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Integrative Psychotherapy
• Rise Up Home Care LLC
• Rise Up Therapy, PLLC
• Naquasha Riser, LPC
• Rising Stars Ortho Lakeline, PLLC
• Rising Stars Pediatric Dentistry, PLLC
• Hope Hui Rising, PHD, LMT
• Christy Risinger, M.D.
• Norman E Risinger, M.D.
• Kimberly Denise Risley, L.P.C.

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.