NPIMap

Organization Active NPI

Lone Star Dental and Braces, PLLC

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1699069013
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25574 Issued in TX
Legal business name
LONE STAR DENTAL AND BRACES, PLLC
Practice address
2516 NE 28TH St Suite 100
Ft Worth, TX 76106-7576
Phone
(817) 744-8440
NPI assigned
Jun 2, 2011
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Vijay PatelNPI 1033420500
Title
Owner/Dentist
Phone
(972) 313-5285

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
Dentist 122300000X 25574 TX Primary

Addresses

Primary practice location

2516 NE 28TH St Suite 100
Ft Worth, TX 76106-7576

Mailing address

2516 NE 28TH St Ste 100
Ft Worth, TX 76106-7577
Phone (817) 744-8440

National Provider Directory

National Provider Directory

Locations

2516 NE 28th St
Ste 100
Ft Worth, TX 76106
Phone (281) 450-3072

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1699069013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 NE 28TH ST STE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761067577",
            "telephone_number": "817-744-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 NE 28TH ST SUITE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761067576",
            "telephone_number": "817-744-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR DENTAL AND BRACES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-313-5285",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.