Active NPI
Shunda Thompson, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Houston, TX
National Provider Identifier
1285654830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 23564
- Practice address
- 134 Vintage Park Blvd Ste a
Houston, TX 77070-3998 - Phone
- (832) 271-3200
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23564 | TX | |
| Dentist | 122300000X | 23564 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 23564 | TX | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN012649 | GA |
Addresses
Primary practice location
134 Vintage Park Blvd Ste a
Houston, TX 77070-3998
Mailing address
12022 Via Palazzo LN
Cypress, TX 77429-7434
Phone (713) 775-2888
Other practice location 1
3063 S John Redditt Dr
Lufkin, TX 75904-5603
Phone (936) 465-9986
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186495115 | Medicaid | TX | |
| 18649114 | Medicaid | TX | |
| 836857158C | Medicaid | GA |
Other names 1
- Shunda Thompson Banks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23564 | TX | MD | General Practice Dentistry |
| DN012649 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Grins Dental and Orthodontics, PC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1750165767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1285654830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12022 VIA PALAZZO LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774297434",
"telephone_number": "713-775-2888",
"fax_number": "281-359-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 VINTAGE PARK BLVD STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770703998",
"telephone_number": "832-271-3200"
}
],
"practiceLocations": [
{
"address_1": "3063 S John Redditt Dr",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759045603",
"country_code": "US",
"telephone_number": "936-465-9986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHUNDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23564",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23564",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "23564",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN012649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186495115",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18649114",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "836857158C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHUNDA",
"last_name": "THOMPSON BANKS",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.