NPI age
2 years
Enumerated 2024-03-01
● Active Type 2 · Organization
Subpart
Lustig And Young Orthodontics
Lustig And Young Orthodontics is 1 of 1850 dentist organizations in Texas.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lustig
Owner
Last NPPES update
2024-03-01
Source: monthly bulk 2026-05
How this organization compares
Across 1850 active dentist providers in Texas.
NPI age
2 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
601 S Main St
Keller, TX 762487029
Mailing address
8450 Park Vista Blvd
Fort Worth, TX 761375731
Authorized official
Jeremy Lustig
Owner
📞 8173506500
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Elizabeth Bah, DO Family Medicine NPI 1588823363
- Jeanne Bass, R.D.H. Dental Hygienist NPI 1528248937
- Cynthia Campbell, OT Occupational Therapist NPI 1891092821
- Grady Carter, D.O. Physical Medicine & Rehabilitation NPI 1467594010
- Sonya Conner, R.D.H. Dental Hygienist NPI 1396925798
- Kevin Liu, M.D. Family Medicine NPI 1437167046
- Ana Lopez, M.D. Family Medicine NPI 1871509133
- Cassandra Muff, F. N. P. Nurse Practitioner NPI 1063517688
- Connor Orr Physical Therapy Assistant NPI 1639659998
- Morgan Strub, O.D. Optometrist NPI 1699184101
- Larry Tadlock, D.D.S. Dentist NPI 1528226552
- Pamela Thomas, O.D. Optometrist NPI 1851334940
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lustig & Young Orthodontics
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Fpds Lyo Pllc.
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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.