NPIMap

Organization Active NPI

Rising Star PC

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1295941367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11814 Issued in TX
Legal business name
RISING STAR PC
Practice address
3330 N Galloway Ave
Ste 158
Mesquite, TX 75150-4728
Phone
(972) 613-0004
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Craig Hays, DDSNPI 1215925953
Title
Owner
Phone
(972) 613-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11814 TX Primary

Addresses

Primary practice location

3330 N Galloway Ave
Ste 158
Mesquite, TX 75150-4728

Mailing address

3330 N Galloway Ave
Ste 158
Mesquite, TX 75150-4728
Phone (972) 613-0004

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295941367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE",
            "address_2": "STE 158",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504728",
            "telephone_number": "972-613-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE",
            "address_2": "STE 158",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504728",
            "telephone_number": "972-613-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-613-0004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.