Individual provider Active NPI

Dustin McCammon, DMD

  • General Practice Dentistry
  • Trophy Club, TX
National Provider Identifier
1780021311
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28819 Issued in TX
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

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
28819TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.