Sara Camila Bustos, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

37603 Issued in TX

Practice address

123 Keller Pkwy Ste 100
Keller, TX 76248-2279

Phone

(817) 562-9015

NPI assigned

Jul 28, 2021

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dan Alineum - Grand Prairie PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1407463771
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1053084756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W ROSEDALE ST APT 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043577",
            "telephone_number": "617-646-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482279",
            "telephone_number": "817-562-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "SARA",
        "middle_name": "CAMILA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Burgos
• Joseph William Burke III, DO
• Laurie Jean Burke, WHCNP
• Brittany Taylor Burns
• Harley Burns, RBT
• Ashley Lynn Buzard, PHARMD
• Yi Kyung Byun
• Avantika Cadambi, CRNA
• John Benjamin Cale
• Kristina Ann Cammareri

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.