Cavity Crusader PC

Primary specialty

DentistTaxonomy code 122300000X

License

21061 Issued in TX

Legal business name

CAVITY CRUSADER PC

Practice address

4502 River Oaks Pkwy
Suite 200
Garland, TX 75044-5080

Phone

(214) 703-5490

Fax

(214) 703-5474

NPI assigned

Oct 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Tran, DDSNPI 1104941343

Title

Ceo

Phone

(214) 529-7143

Specialties & licenses 1

Addresses

Other names 1

• Firewheel Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen TD Tran, DDS

  • Dentist
  • Garland, TX
  • NPI 1104941343
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1003141599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVER OAKS PKWY",
            "address_2": "SUITE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445080",
            "telephone_number": "214-703-5490",
            "fax_number": "214-703-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVER OAKS PKWY",
            "address_2": "SUITE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445080",
            "telephone_number": "214-703-5490",
            "fax_number": "214-703-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVITY CRUSADER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-529-7143",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firewheel Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Nieman Casto, PH.D.
• Irene Cua Castro
• Kristi Catacutan, MPAS, PA-C, BSN, RN
• Catalyst Laboratory LLC
• Christina Cavazos
• April Caywood, RN
• CC. Mercy Care Home Health Services Inc.
• Cedar Haven Counseling, PLLC
• Center for Stress Management
• Centerwell Senior Primary Care (TX) PA

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.