Organization Active NPI

Lone Star Family Dental

  • General Practice Dentistry
  • Fairview, TX
National Provider Identifier
1366525792
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29948 Issued in TX
Legal business name
LONE STAR FAMILY DENTAL
Practice address
431 Stacy Rd
Suite 108
Fairview, TX 75069-8741
Phone
(214) 383-2626
Fax
(214) 383-1826
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. Justin McElvain, DDSNPI 1912310939
Title
Member
Phone
(214) 383-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29948 TX Primary

Addresses

Primary practice location

431 Stacy Rd
Suite 108
Fairview, TX 75069-8741

Mailing address

431 Stacy Rd
Suite 108
Fairview, TX 75069-8741
Phone (214) 383-2626

National Provider Directory

National Provider Directory

Locations

431 Stacy Rd
Ste 108
Fairview, TX 75069
Phone (214) 383-2626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1366525792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 STACY RD",
            "address_2": "SUITE 108",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750698741",
            "telephone_number": "214-383-2626",
            "fax_number": "214-383-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 STACY RD",
            "address_2": "SUITE 108",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750698741",
            "telephone_number": "214-383-2626",
            "fax_number": "214-383-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "MCELVAIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-383-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.