NPI age
12 years
Enumerated 2014-01-31
● Active Type 2 · Organization
Lakeline Ranch Dental
Lakeline Ranch Dental is 1 of 278 preferred provider organization organizations in Texas.
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Zahedi
Owner
Last NPPES update
2014-01-31
Source: monthly bulk 2026-05
How this organization compares
Across 278 active preferred provider organization providers in Texas.
NPI age
12 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
10900 Lakeline Mall Dr, Suite 250
Austin, TX 787175924
Mailing address
10900 Lakeline Mall Dr, Suite 250
Austin, TX 787175924
Authorized official
Ardalan Zahedi, DDS
Owner
📞 5125830700
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Loy Bly Pharmacist NPI 1285911073
- Hansa Huang, O.D. Optometrist NPI 1598957334
- Jennifer Knight, RPH Pharmacist NPI 1316211204
- Michelle Le, OD Optometrist NPI 1558843821
- Christina Petrie, PHARM.D. Pharmacist NPI 1720342561
- Matthew Sage, PHARM D Pharmacist NPI 1942596259
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
Practice context
Multi-provider organization. 6 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.