Coppell Star Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COPPELL STAR DENTAL GROUP PC

Practice address

651 N Denton Tap Rd Ste 170
Coppell, TX 75019-7937

Phone

(972) 899-1208

NPI assigned

May 6, 2025

Last updated

May 6, 2025By 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. Young Shim, DMDNPI 1790011609

Title

President

Phone

(404) 512-0760

Specialties & licenses 1

Addresses

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.

• Young Tae Shim, DMD

  • Dentist
  • Duluth, GA
  • NPI 1790011609
  Authorized official Same address or phone

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1710776661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD STE 170",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197937",
            "telephone_number": "972-899-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD STE 170",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197937",
            "telephone_number": "972-899-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL STAR DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-512-0760",
        "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": []
}

• Coppell Psychiatric Care Inc.
• Coppell SNF Operations LLC (Sandy Lake Rehabilitation and Care Center)
• Coppell Speech Therapy
• Coppell Spine & Sports Rehab Limited Partnership (Therapy Partners of North Texas)
• Coppell Spine & Sports Rehab Limited Partnership
• Coppell Surgery Center, LLC
• Josh Cordonnier, LPC
• Core Activated Rehab L.L.C.
• Core Physical Therapy Coppell
• Courtney E Cosgrove

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.