Individual provider Active NPI

Steven Christopher Renas, DMD

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1508411844
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35322 Issued in TX
Practice address
1930 E Rosemeade Pkwy Ste 103
Carrollton, TX 75007-2467
Phone
(972) 492-0411
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35322 TX Primary

Addresses

Primary practice location

1930 E Rosemeade Pkwy Ste 103
Carrollton, TX 75007-2467

Mailing address

2502 Thomas Ave Apt 121
Dallas, TX 75201-2077
Phone (630) 624-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35322TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Renas DMD PLLC Current Accepting new patients
Kurt a. Seidler, D.D.S., Inc. PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1508411844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 THOMAS AVE APT 121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012077",
            "telephone_number": "630-624-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY STE 103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072467",
            "telephone_number": "972-492-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAS",
        "first_name": "STEVEN",
        "middle_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.