MNM 1997, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MNM 1997, INC

Doing business as

StarDent

Practice address

12946 Dairy Ashford Rd
Suite 360
Sugar Land, TX 77478-3161

Phone

(800) 660-6064

Fax

(281) 313-7155

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRST CONTINENTAL LIFE & ACCIDENT INSURANCE COMPANYAs reported in NPPES

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

Authorized official

Name

Mr. Rick Barrett

Title

Coo

Phone

(281) 276-1009

Specialties & licenses 1

Addresses

Other names 1

• StarDent Doing business as

Part of

First Continental Life Accident Insurance Company

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1215226931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12946 DAIRY ASHFORD RD",
            "address_2": "SUITE 360",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783161",
            "telephone_number": "800-660-6064",
            "fax_number": "281-313-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12946 DAIRY ASHFORD RD",
            "address_2": "SUITE 360",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783161",
            "telephone_number": "800-660-6064",
            "fax_number": "281-313-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM 1997, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CONTINENTAL LIFE & ACCIDENT INSURANCE COMPANY",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-276-1009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StarDent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.