OrganizationActive
Lake Travis Pediatric Dentistry
NPI 1508008590 · Pediatric Dentistry · Lakeway, TX
Lake Travis Pediatric Dentistry is a Pediatric Dentistry organization in Lakeway, TX (NPI 1508008590).
Provider details
- NPI number
- 1508008590
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reza Arzegar, Vice President(512) 263-1000
- License
- 22434 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1008 Rr 620 S
Suite # 201
Lakeway, TX 78734-5631
Phone: (512) 263-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1008 Rr 620 S
Lakeway, TX 78734-5631
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2009-04-06
Frequently asked questions
- What is Lake Travis Pediatric Dentistry's NPI number?
- Lake Travis Pediatric Dentistry's National Provider Identifier (NPI) is 1508008590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Travis Pediatric Dentistry?
- Lake Travis Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Lake Travis Pediatric Dentistry located?
- Lake Travis Pediatric Dentistry's practice location on file with NPPES is 1008 Rr 620 S, Lakeway, TX 78734-5631.
- What is Lake Travis Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Lake Travis Pediatric Dentistry is (512) 263-1000.
- Who is the authorized official for Lake Travis Pediatric Dentistry?
- The authorized official listed on Lake Travis Pediatric Dentistry's NPPES record is Reza Arzegar, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Travis Pediatric Dentistry's NPI active?
- Yes — Lake Travis Pediatric Dentistry's NPI (1508008590) is active in the NPPES registry as of the last update on 2009-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.