Star Dental Specialists PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21389 Issued in TX

Legal business name

STAR DENTAL SPECIALISTS PLLC

Practice address

1013 Dairy Ashford Rd
Houston, TX 77079-4602

Phone

(281) 506-8945

Fax

(832) 770-9366

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Babak Goravanchi, DDS

Title

Owner/Doctor

Phone

(713) 446-8547

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Specialists Doing business as

Locations

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1336594530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "281-506-8945",
            "fax_number": "832-770-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "281-506-8945",
            "fax_number": "832-770-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "GORAVANCHI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "713-446-8547",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candace Rebecca Stapp
• Michaela N. Stapp, AUD
• Star Bright Health Services
• Star Community Living Inc
• Star Dental Care, PA
• Star Dentist II PLLC
• Star Dentist PLLC
• Star Diagnostics LLC
• Star EMS Inc
• Star Health Care Inc

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Apr 26, 2016; 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.