Individual provider Active NPI

Karnik Shah, BDS, MS

  • Prosthodontics
  • Austin, TX
National Provider Identifier
1013468529
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
32429 Issued in TX
Practice address
1923 E 7TH St Ste 120
Austin, TX 78702-3453
Phone
(512) 236-9300
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 32429 TX Primary

Addresses

Primary practice location

1923 E 7TH St Ste 120
Austin, TX 78702-3453

Mailing address

412 Staunton Dr
Leander, TX 78641-5471
Phone (614) 779-5126

Other practice location 1

801 E William Cannon Dr Ste 201
Austin, TX 78745-6671
Phone (512) 717-5353

Other practice location 2

1200 W Walnut Hill Ln
Suite # 3950
Irving, TX 75038-3029
Phone (512) 926-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219002876 TX Order and Referring Only - DentistPractitioner - Dentist 6103107735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
32429TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mahavir Dental PLLC Current Accepting new patients
Third Dentition PLLC Prosthodontics CurrentSince Mar 24, 2024 Accepting new patients
Access Orthodontics of E. 7TH Street PA PastSince Mar 24, 2024 Accepting new patients
Access Dental of William Cannon PA PastSince Nov 9, 2021 Accepting new patients
Access Dental of 7TH Street PastSince Mar 24, 2024 Accepting new patients

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP

Organizations & group practices 5

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1013468529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 STAUNTON DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415471",
            "telephone_number": "614-779-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 E 7TH ST STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023453",
            "telephone_number": "512-236-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E William Cannon Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787456671",
            "country_code": "US",
            "telephone_number": "512-717-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Walnut Hill Ln",
            "address_2": "SUITE # 3950",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750383029",
            "country_code": "US",
            "telephone_number": "512-926-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KARNIK",
        "name_prefix": "Dr.",
        "credential": "BDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "32429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.