Texas Star Dental Center PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21747 Issued in TX

Legal business name

TEXAS STAR DENTAL CENTER PA

Practice address

7706 Bandera Road
Suite 101
San Antonio, TX 78238

Phone

(210) 523-2700

Fax

(210) 523-2701

NPI assigned

Mar 28, 2014

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

TEXAS STAR DENTAL CENTER PAAs reported in NPPES

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

Authorized official

Name

Dr. Samer Bsoul, DDSNPI 1609965276

Title

Owner

Phone

(210) 682-2700

Specialties & licenses 1

Addresses

Tax ID family

Texas Star Dental Center PA2 organizations share this tax ID, including this one

Part of

Texas Star Dental Center PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Star Dental Center, P.a.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1033370721
  NPD tax ID

Locations

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.

• Samer A Bsoul, DDS MS

  • Dentist
  • San Antonio, TX
  • NPI 1609965276
  NPD (past) Authorized official

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1366869273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 BANDERA ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-523-2700",
            "fax_number": "210-523-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 BANDERA ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-523-2700",
            "fax_number": "210-523-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STAR DENTAL CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS STAR DENTAL CENTER PA",
        "enumeration_date": "2014-03-28",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BSOUL",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-682-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Smiles Dental Center of San Antonio, PLLC
• Texas South Hearing
• Texas Spine & General Surgery Center, LLC
• Texas Spine Clinic PA
• Texas Star Bio Med LLC
• Texas Star Dental Center, P.a.
• Texas Star Med Clinic LLC
• Texas State Pharmacy LLC (Synergy Pharmacy)
• Texas Tens Unlimited
• Texas Tens Unlimited Inc. (Tx Tens Unlimited Inc.)

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Nov 2, 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.