LONE STAR PEDIATRIC DENTAL
NPI 1235587700
Dentist - Pediatric Dentistry in Elgin, TX

NPI Status: Active since May 25, 2016

Contact Information

250 W US HIGHWAY 290 # A
ELGIN, TX
ZIP 78621
Phone: (512) 676-4444

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance
  • CLIA Number: 45D1009361
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-17-2026

About LONE STAR PEDIATRIC DENTAL

This page provides the complete NPI Profile along with additional information for Lone Star Pediatric Dental, a provider established in Elgin, Texas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1235587700 assigned on May 2016. The practitioner's primary taxonomy code is 1223P0221X with license number 24217 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Lone Star Pediatric Dental. The authorized official of this NPI record is Dr. Marty Montgomery Dds (Dentist/owner)

NPI
1235587700
Provider Legal Name
ELGIN PEDIATRIC DENTAL PLLC
Other Organization Name
LONE STAR PEDIATRIC DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
250 W US HIGHWAY 290 # A ELGIN, TX 78621
Location Phone
(512) 676-4444
Mailing Address
505 E HUNTLAND DR STE 340 AUSTIN, TX 78752
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2016
Last Update Date
05-25-2016
Code Navigator

A dentist like Lone Star Pediatric Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
24217
License State
TX
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARTY MONTGOMERY DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(512) 676-4444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1009361
Facility Type
Physician Office
Certificate Effective Date
August 18, 2024
Certificate Expiration Date
August 17, 2026
Laboratory Director
JONATHAN DOLLISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lone Star Pediatric Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235587700, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 0 + 8 + 1 + 4 + 7 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1235587700.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235587700, enumerated as an "organization" on May 25, 2016.

The provider is located at 250 W US HIGHWAY 290 # A ELGIN, TX 78621 and the phone number is (512) 676-4444.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.