NPIMap

Organization Active NPI

Lone Star Dentistry Clinic PC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1811147986
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23903 Issued in TX
Legal business name
LONE STAR DENTISTRY CLINIC PC
Practice address
312 S Beckley Ave
Dallas, TX 75203-2614
Phone
(214) 941-4455
Fax
(214) 941-4464
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Bao Tran Quach, DDS
Title
Owner
Phone
(214) 941-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23903 TX Primary

Addresses

Primary practice location

312 S Beckley Ave
Dallas, TX 75203-2614

Mailing address

312 S Beckley Ave
Dallas, TX 75203-2614
Phone (214) 941-4455

National Provider Directory

National Provider Directory
Tax ID family
Lone Star Dentistry Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1811147986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032614",
            "telephone_number": "214-941-4455",
            "fax_number": "214-941-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032614",
            "telephone_number": "214-941-4455",
            "fax_number": "214-941-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR DENTISTRY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-941-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.