Organization Active NPI

Vista Oaks Dentistry PLLC

  • General Practice Dentistry
  • Roanoke, TX
National Provider Identifier
1922920057
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VISTA OAKS DENTISTRY PLLC
Doing business as
Vista Oaks Dentistry
Practice address
1540 N US Hwy 377
Ste 600
Roanoke, TX 76262
Phone
(817) 369-9370
Fax
(817) 665-9174
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Dustin McBride, DMD
Title
Owner
Phone
(817) 369-9370

Specialties & licenses 1

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

Addresses

Primary practice location

1540 N US Hwy 377
Ste 600
Roanoke, TX 76262

Mailing address

PO Box 734753
Dallas, TX 75373-4753
Phone (817) 369-9370

Other names 1

  • Vista Oaks Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1922920057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "817-369-9370",
            "fax_number": "817-665-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 N US HWY 377",
            "address_2": "STE 600",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-369-9370",
            "fax_number": "817-665-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OAKS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-369-9370",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Oaks Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.