Third Dentition PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

THIRD DENTITION PLLC

Practice address

16009 FM 1325
Austin, TX 78728-2876

Phone

(614) 779-5126

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Karnik Shah, BDS, MSNPI 1013468529

Title

Owner

Phone

(614) 779-5126

Specialties & licenses 1

Addresses

Other names 1

• Clover Smile Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karnik Shah, BDS, MS

  • Prosthodontics
  • Austin, TX
  • NPI 1013468529
  NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1073373239",
    "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": "16009 FM 1325",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787282876",
            "telephone_number": "614-779-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD DENTITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KARNIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-779-5126",
        "authorized_official_credential": "BDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clover Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Christopher Thiel, DDS MS
• Heather Elisabeth Hydrick Thiel, LMT
• Julie Kristine Thielke, APRN, FNP-C
• Nidia Delcarmen Thies, COTA/L
• Velma Thies, COTA
• Third Eye PLLC
• Third Summit Group, Inc.
• Vani Thirumala
• Samantha Thiry, NP
• This Too Shall Pass Favors Transitional Housing LLC

• Prosthodontics in Austin, TX
• Providers in Austin, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.