NPIMap

Organization Active NPI

Lone Star Dental and Braces Dallas PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1093137192
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25574 Issued in TX
Legal business name
LONE STAR DENTAL AND BRACES DALLAS PLLC
Practice address
2509 S Hampton Rd
Dallas, TX 75224-1623
Phone
(214) 331-4867
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Gerald Sherrick, DDS
Title
Owner
Phone
(214) 331-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 25574 TX Primary

Addresses

Primary practice location

2509 S Hampton Rd
Dallas, TX 75224-1623

Mailing address

2509 S Hampton Rd
Dallas, TX 75224-1623
Phone (214) 331-4867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1093137192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241623",
            "telephone_number": "214-331-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241623",
            "telephone_number": "214-331-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR DENTAL AND BRACES DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "SHERRICK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-331-4867",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.