Active NPI
Dustin McCammon, DMD
- General Practice Dentistry
- Trophy Club, TX
National Provider Identifier
1780021311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28819
- Practice address
- 625 Parkview Dr Ste 101
Trophy Club, TX 76262-4204 - Phone
- (817) 491-1900
- NPI assigned
- May 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28819 | TX | Primary |
Addresses
Primary practice location
625 Parkview Dr Ste 101
Trophy Club, TX 76262-4204
Mailing address
625 Parkview Dr Ste 101
Trophy Club, TX 76262-4204
Other practice location 1
2810 W 1st St Ste 10
Prosper, TX 75078-8150
Phone (972) 829-3345
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28819 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Dental of Prosper, PLLC | General Practice | Current | Accepting new patients |
| Parkview Dental, PLLC | General Practice | Current | Accepting new patients |
| Ideal Dental of Castle Hills PLLC | Past | Accepting new patients |
Locations
2810 W 1st St
Ste 10
Prosper, TX 75078
Phone (262) 203-1893
625 Parkview Dr
Ste 101
Trophy Club, TX 76262
Phone (817) 491-1900
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Prosper, TX
- NPI 1447192141
-
- General Practice Dentistry
- Trophy Club, TX
- NPI 1326980012
-
- Dentist
- Addison, TX
- NPI 1053799684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1780021311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 PARKVIEW DR STE 101",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762624204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 PARKVIEW DR STE 101",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762624204",
"telephone_number": "817-491-1900"
}
],
"practiceLocations": [
{
"address_1": "2810 W 1st St Ste 10",
"address_purpose": "LOCATION",
"city": "Prosper",
"state": "TX",
"postal_code": "750788150",
"country_code": "US",
"telephone_number": "972-829-3345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAMMON",
"first_name": "DUSTIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trophy Club, TX
- Lio Holdings LLC
- Johanne Lionel-Brim
- Lonnie G. Adian & Associates, LLP
- Eva Gabriela Martinez Beltran, DPT
- Jonathan Richard Matthews, D.O.
- Meadowmere Emergency Physicians PLLC
- Medical Edge Healthcare Group PA (Arlington Cancer Center at Trophy Club)
- Medical Products & Services, Inc.
- Members Only Dental PA (Bella Vita Dentistry)
- Jade Noel Merrell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.