Lone Star Dental Anesthesia

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

LONE STAR DENTAL ANESTHESIA

Practice address

4112 E Renner Rd
Richardson, TX 75082-2832

Phone

(972) 536-3972

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Jinsoo Kim, DDS

Title

Owner

Phone

(972) 536-3972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1295210573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822832",
            "telephone_number": "972-536-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822832",
            "telephone_number": "972-536-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR DENTAL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINSOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-536-3972",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Ray Lohman, M.A., L.P.C.
• Wilner Loiseau
• Jenifer Lokey
• Christina Lombardi
• Lillie Anna Loncar, LCP-A, MS
• Lone Star Love and Care Inc
• Lone Star Proceduralist, PLLC
• Lisa Monique Long
• Samina Long, PHD, LPC
• Lina Maria Lopez-Cristancho

• Dental Anesthesiology in Richardson, TX
• Providers in Richardson, TX by specialty
• Dental Anesthesiology in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.