Organization Active NPI

Custer Dental and Orthodontics, PLLC

  • Dentist
  • McKinney, TX
National Provider Identifier
1205356193
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CUSTER DENTAL AND ORTHODONTICS, PLLC
Practice address
5131 S. Custer Rd Ste 105
McKinney, TX 75070
Phone
(972) 665-6774
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Ibrahim HouariNPI 1336692029
Title
Owner
Phone
(469) 438-1754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5131 S. Custer Rd Ste 105
McKinney, TX 75070

Mailing address

5131 S Custer Rd Ste 105
McKinney, TX 75070-1271

National Provider Directory

National Provider Directory

Locations

5131 S Custer Rd
Ste 105
McKinney, TX 75070
Phone (972) 532-3635

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": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1205356193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 S CUSTER RD STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 S. CUSTER RD STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-665-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER DENTAL AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "HOUARI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-438-1754"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.