NPI age
14 years
Enumerated 2012-03-01
● Active Type 2 · Organization
Beau D Blankenship, Dds, Pc
Beau D Blankenship, Dds, Pc is 1 of 15661 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blankenship
Owner/president
Last NPPES update
2012-03-01
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
11200 Lakeline Mall Dr, #b1
Cedar Park, TX 786131501
Mailing address
1215 Sledge Dr
Austin, TX 787346373
Authorized official
Beau D Blankenship, D.D.S.
Owner/president
📞 2107229274
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Peter Pak, O.D. Optometrist NPI 1013145036
- Meera Sampat, OD Optometrist NPI 1417469412
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 181540911 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lakeline Mall Family Dental
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.