Star Smiles PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STAR SMILES PLLC

Doing business as

Star Smiles of Aubrey

Practice address

26919 US Highway 380 E
Aubrey, TX 76227-7804

Phone

(940) 213-3752

Fax

(940) 213-3763

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vamshider Reddy Kyatam, DMDNPI 1205066891

Title

Owner Dentist

Phone

(617) 417-1161

Specialties & licenses 1

Addresses

Other names 1

• STAR SMILES OF AUBREY Doing business as

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.

• Vamshider Reddy Kyatam, DMD

  • Dentist
  • Aubrey, TX
  • NPI 1205066891
  NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1659194793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26919 US HIGHWAY 380 E",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277804",
            "telephone_number": "940-213-3752",
            "fax_number": "940-213-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26919 US HIGHWAY 380 E",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277804",
            "telephone_number": "940-213-3752",
            "fax_number": "940-213-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "KYATAM",
        "authorized_official_first_name": "VAMSHIDER",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "617-417-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR SMILES OF AUBREY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Aubrey, TX
• Providers in Aubrey, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.