Organization Active NPI

Bright Star Dental

  • Dentist
  • Las Cruces, NM
National Provider Identifier
1346456514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1674 Issued in NM
Legal business name
BRIGHT STAR DENTAL
Practice address
2001 E Lohman Ave
Suite 121
Las Cruces, NM 88001-3167
Phone
(505) 526-4334
Fax
(505) 526-7863
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
Dr. Brian J Gilbert, D.D.S.NPI 1952371171
Title
Ceo
Phone
(505) 526-4334

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
Dentist 122300000X 1674 NM Primary

Addresses

Primary practice location

2001 E Lohman Ave
Suite 121
Las Cruces, NM 88001-3167

Mailing address

2001 E Lohman Ave
Suite 121
Las Cruces, NM 88001-3167
Phone (505) 526-4334

National Provider Directory

National Provider Directory

Locations

2001 E Lohman Ave
Ste 121
Las Cruces, NM 88001
Phone (505) 526-4334

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": "1346456514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE",
            "address_2": "SUITE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013167",
            "telephone_number": "505-526-4334",
            "fax_number": "505-526-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E LOHMAN AVE",
            "address_2": "SUITE 121",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013167",
            "telephone_number": "505-526-4334",
            "fax_number": "505-526-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-526-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

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.