NPIMap

Organization Active NPI

Red Star Dental

  • General Practice Dentistry
  • Yorktown, VA
National Provider Identifier
1285924100
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25919 Issued in TX
Legal business name
RED STAR DENTAL
Practice address
202 St.Clair Cirle
Apt K
Yorktown, VA 23693
Phone
(757) 223-5989
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Harry M Joseph, DDSNPI 1093895211
Title
Manager
Phone
(321) 525-9357

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
General Practice Dentistry 1223G0001X 25919 TX Primary

Addresses

Primary practice location

202 St.Clair Cirle
Apt K
Yorktown, VA 23693

Mailing address

14460 Hillcroft St Ste 102
Houston, TX 77085-1505
Phone (321) 525-9357

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, 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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1285924100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 HILLCROFT ST STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770851505",
            "telephone_number": "321-525-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ST.CLAIR CIRLE",
            "address_2": "APT K",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-223-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-525-9357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.