Organization Active NPI

Texas Star Dental, P.a.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1922149392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21049 Issued in TX
Legal business name
TEXAS STAR DENTAL, P.A.
Practice address
435 Bruton Terrace Ctr
Dallas, TX 75227-8376
Phone
(214) 275-9090
Fax
(214) 275-9191
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dana Ly, D.D.S.NPI 1336344076
Title
President
Phone
(214) 275-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21049 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21399 TX

Addresses

Primary practice location

435 Bruton Terrace Ctr
Dallas, TX 75227-8376

Mailing address

435 Bruton Terrace Ctr
Dallas, TX 75227-8376
Phone (214) 275-9090

National Provider Directory

National Provider Directory

Locations

435 Bruton Terrace Ctr
Dallas, TX 75217
Phone (214) 275-9090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922149392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BRUTON TERRACE CTR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278376",
            "telephone_number": "214-275-9090",
            "fax_number": "214-275-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BRUTON TERRACE CTR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278376",
            "telephone_number": "214-275-9090",
            "fax_number": "214-275-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STAR DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-275-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21049",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21399",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.