North Star Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH STAR DENTAL PLLC

Doing business as

North Star Dental

Practice address

4011 E Renner Rd Ste 107
Richardson, TX 75082-2917

Phone

(972) 238-5665

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tho X Pham, DDS

Title

DDS

Phone

(469) 449-4925

Specialties & licenses 1

Addresses

Other names 1

• North Star Dental Doing business as

Locations

Practitioners 4

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.

• Tho Thi-Xuan Pham, D.D.S.

  • Dentist
  • Garland, TX
  • NPI 1861878951
  NPD
• Candace Cheri Brown, D.D.S.

  • General Practice Dentistry
  • Cedar Hill, TX
  • NPI 1114273026
  NPD (past)
• Yoori Kim, D.D.S

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1992069595
  NPD (past)
• Jeffrey W Moore, DDS

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1295991529
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1326764986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 MULHOLLAND DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822917",
            "telephone_number": "972-238-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THO",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "469-449-4925",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Dallas Physical Therapy Associates PC (North Dallas Physical Therapy and Work Hardening)
• North Dallas Primary Care P.a
• North Dallas Surgical Specialists, PA
• North East Infusion Center
• North Richardson Dentistry Associates, PC
• North Texas 101 Mobility LLC (101 Mobility)
• North Texas Ambulatory Procedure Center
• North Texas Care Physicians, P.a.
• North Texas Fce PLLC
• North Texas General Surgery PLLC (Epic Surgery Clinic)

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.