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LONE STAR DENTAL & MEDICAL CLINIC P.A.
NPI 1871161380
Dentist - General Practice in Windcrest, TX

Active since June 12, 2021CLIA 45D2247865 · Waiver
8100 ROUGHRIDER DR STE 102, WINDCREST, TX 78239(210) 549-4030(210) 549-4051 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2021, Jun 12, 2021 (2 updates tracked since 2021).

About Lone Star Dental & Medical Clinic P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONE STAR DENTAL & MEDICAL CLINIC P.A. (NPI 1871161380) is a healthcare organization registered as a general practice in Windcrest, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Azita Khashayar, Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1871161380
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLONE STAR DENTAL & MEDICAL CLINIC P.A.
Location Address8100 ROUGHRIDER DR STE 102Windcrest, TX 78239-2455
Mailing Address8100 Roughrider Dr Ste 102Windcrest, TX 78239-2455 · (210) 549-4030 · Fax (210) 549-4051
Phone(210) 549-4030
Fax(210) 549-4051
Organization SubpartNo
Authorized OfficialAzita KhashayarDentist / Owner · (210) 549-4030
Enumeration DateJune 12, 2021
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1871161380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8100 ROUGHRIDER DR STE 102, Windcrest, TX 78239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2247865

Lone Star Dental & Medical Clinic PA · Windcrest, TX
Active · expires Jan 9, 2028
CLIA Number45D2247865
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorShahin Rezai
Laboratory Phone(210) 549-4030
Laboratory LocationLone Star Dental & Medical Clinic PA8100 Roughrider Drive, Suite 102, Windcrest, TX 78239
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AZITA KHASHAYAR D.M.D.
Dentist
8100 ROUGHRIDER DR STE 102
WINDCREST, TX 78239
Bexar County (210) 549-4030
ROSALBA MARTINEZ
Counselor (Mental Health)
8100 ROUGHRIDER DR STE 102
WINDCREST, TX 78239
Bexar County (210) 504-4783
JASON HOGUE PRE-DOCTORAL INTERN
Counselor (Professional)
8100 ROUGHRIDER DR STE 102
WINDCREST, TX 78239
Bexar County (210) 504-4783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lone Star Dental & Medical Clinic P.A.'s NPI number?

The NPI number for Lone Star Dental & Medical Clinic P.A. is 1871161380. It was assigned to this organization in the NPPES registry on June 12, 2021.

Where is Lone Star Dental & Medical Clinic P.A. located?

Lone Star Dental & Medical Clinic P.A. is located at 8100 Roughrider Dr Ste 102, Windcrest, TX 78239. The listed phone number is (210) 549-4030.

What is Lone Star Dental & Medical Clinic P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Lone Star Dental & Medical Clinic P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2247865) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lone Star Dental & Medical Clinic P.A. was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.