NPIMap

Organization Active NPI

Five Star Dental

  • Dentist
  • Houston, TX
National Provider Identifier
1891158572
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14561 Issued in TX
Legal business name
FIVE STAR DENTAL
Practice address
11902 Jones Rd
#F
Houston, TX 77070-5233
Phone
(281) 890-0207
Fax
(281) 890-0349
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Gary Ricketts, DDS
Title
Owner
Phone
(281) 890-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14561 TX Primary

Addresses

Primary practice location

11902 Jones Rd
#F
Houston, TX 77070-5233

Mailing address

11902 Jones Rd
#F
Houston, TX 77070-5233
Phone (281) 890-0207

National Provider Directory

National Provider Directory

Locations

11902 Jones Rd
Ste F
Houston, TX 77070
Phone (281) 890-0207

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1891158572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 JONES RD",
            "address_2": "#F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705233",
            "telephone_number": "281-890-0207",
            "fax_number": "281-890-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11902 JONES RD",
            "address_2": "#F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705233",
            "telephone_number": "281-890-0207",
            "fax_number": "281-890-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-890-0207",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14561",
            "primary": true
        }
    ],
    "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 Mar 31, 2016; 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.