Organization Active NPI

Lonestar Grins Dental and Orthodontics, PC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1750165767
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LONESTAR GRINS DENTAL AND ORTHODONTICS, PC
Practice address
3648 FM 1960 Rd W Ste 246B
Houston, TX 77068-3617
Phone
(281) 919-2983
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Shunda Thompson Banks, DDS
Title
Owner
Phone
(713) 775-2888

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3648 FM 1960 Rd W Ste 246B
Houston, TX 77068-3617

Mailing address

12022 Via Palazzo LN
Cypress, TX 77429-7434
Phone (171) 377-5288

National Provider Directory

National Provider Directory

Locations

3648 FM 1960 Rd W
Ste 246B
Houston, TX 77068
Phone (281) 919-2983

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1750165767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12022 VIA PALAZZO LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297434",
            "telephone_number": "171-377-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 FM 1960 RD W STE 246B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683617",
            "telephone_number": "281-919-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR GRINS DENTAL AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON BANKS",
        "authorized_official_first_name": "SHUNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-775-2888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.