RISING STARS PD LAKELINE, PLLC
NPI 1912780461
Dentist - Pediatric Dentistry in Austin, TX

Q: What is Rising Stars Pd Lakeline, PLLC's NPI number?

The NPI number for Rising Stars Pd Lakeline, PLLC is 1912780461. It was assigned to this organization in the NPPES registry on August 17, 2023.

Q: What is Rising Stars Pd Lakeline, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 17, 2023

14005 N HWY 183 STE 800, AUSTIN, TX 78717(512) 266-7200 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rising Stars Pd Lakeline, Pllc NPPES

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

RISING STARS PD LAKELINE, PLLC (NPI 1912780461) is a healthcare organization registered as a pediatric dentistry in Austin, Texas and active in the NPI registry since August 2023. The organization lists Serenthes Fields, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1912780461

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameRISING STARS PD LAKELINE, PLLC

Location Address14005 N HWY 183 STE 800Austin, TX 78717-5960

Mailing Address14005 N Hwy 183 Ste 800Austin, TX 78717-5960 · (512) 266-7200

Phone(512) 266-7200

Organization SubpartNo

Authorized OfficialSerenthes FieldsCredentialing Specialist · (407) 684-3738

Enumeration DateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1912780461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

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.

14005 N HWY 183 STE 800, Austin, TX 78717

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY BOYD GREGERSON D.M.D.

Dentist (Pediatric Dentistry)

14005 N HWY 183 STE 800
AUSTIN, TX 78717

Williamson County (512) 644-1752

DR. ARWA ISSA OWAIS B.D.S., ABPD, ABDPH

Dentist (Pediatric Dentistry)

14005 N HWY 183 STE 800
AUSTIN, TX 78717

Williamson County (319) 400-4554

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 Rising Stars Pd Lakeline, PLLC's NPI number?

The NPI number for Rising Stars Pd Lakeline, PLLC is 1912780461. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Rising Stars Pd Lakeline, PLLC located?

Rising Stars Pd Lakeline, PLLC is located at 14005 N Hwy 183 Ste 800, Austin, TX 78717. The listed phone number is (512) 266-7200.

What is Rising Stars Pd Lakeline, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Rising Stars Pd Lakeline, PLLC was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.