NPIMap

Organization Active NPI

Frisco Custer Star Dental Group, PC

Doing business as Custer Star Dental Group

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1245532688
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRISCO CUSTER STAR DENTAL GROUP, PC
Doing business as
Custer Star Dental Group
Practice address
15950 Eldorado Pkwy Suite 100
Frisco, TX 75035
Phone
(972) 540-9977
NPI assigned
Nov 17, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. John S Barnes, DDS
Title
Contracts Admin
Phone
(972) 540-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

15950 Eldorado Pkwy Suite 100
Frisco, TX 75035

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

  • Custer Star Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

15950 Eldorado Pkwy
Ste 100
Frisco, TX 75035
Phone (972) 540-9977

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1245532688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15950 ELDORADO PKWY SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-540-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO CUSTER STAR DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CONTRACTS ADMIN",
        "authorized_official_telephone_number": "972-540-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custer Star Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.