Moderna Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERNA DENTAL STUDIO

Practice address

13001 Bee St
Ste 140
Farmers Branch, TX 75234

Phone

(972) 241-3488

Fax

(972) 241-3451

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Angel Estojero

Title

Practice Manager

Phone

(972) 241-3488

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Noah Cruz, DDS

  • General Practice Dentistry
  • Farmers Branch, TX
  • NPI 1972097384
  NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1447827092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 BEE ST",
            "address_2": "STE 140",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-241-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 BEE ST",
            "address_2": "STE 140",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-241-3488",
            "fax_number": "972-241-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERNA DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "ESTOJERO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-241-3488"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REGISTRY",
            "identifier": "1609395375",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REGISTRY",
            "identifier": "1972097384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metrostar Healthcare Services LLC
• Natalia Casagrande de Mira, RDN, LDN
• Natoshia Eleece Mitchell
• Amber Michelle Mixon
• Model Wellness, PLLC
• Afnan Mohamed
• Ingrid Montes de Oca
• Danielle Lorraina Moore
• Kiera Lanae Moore
• Tammy Lynn Moore

• General Practice Dentistry in Farmers Branch, TX
• Providers in Farmers Branch, 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 Jun 10, 2021; 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.