NPIMap

Organization Active NPI

Lakecreek Family Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1992393185
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKECREEK FAMILY DENTAL
Practice address
10125 Lake Creek Pkwy
Austin, TX 78729-1711
Phone
(512) 331-6677
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Aditi Rajesh Saxena, DDSNPI 1699037507
Title
Manager
Phone
(254) 290-6561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

10125 Lake Creek Pkwy
Austin, TX 78729-1711

Mailing address

3456 Francisco Way
Round Rock, TX 78665-2169
Phone (254) 290-6561

Other names 1

  • Lakecreek Family Dental Care and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10125 Lake Creek Pkwy
Austin, TX 78729
Phone (512) 331-6677

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1992393185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 FRANCISCO WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652169",
            "telephone_number": "254-290-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291711",
            "telephone_number": "512-331-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKECREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "ADITI",
        "authorized_official_middle_name": "RAJESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-290-6561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakecreek Family Dental Care and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakecreek Family Dental Care and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2024; 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.