Individual provider Active NPI

Sara Shayan, DMD

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
National Provider Identifier
1093156606
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
ETN173 Issued in TX
Practice address
7703 Floyd Curl Dr # 7914
Ut Health Science Center at San Antonio
San Antonio, TX 78229-3901
Phone
(210) 567-3456
Fax
(210) 567-3443
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ETN173 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Dr # 7914
Ut Health Science Center at San Antonio
San Antonio, TX 78229-3901

Mailing address

8638 Huebner Road
#9332
San Antonio, TX 78240-1736
Phone (210) 560-5657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ETN173TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1093156606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 HUEBNER ROAD",
            "address_2": "#9332",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401736",
            "telephone_number": "210-560-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # 7914",
            "address_2": "UT HEALTH SCIENCE CENTER AT SAN ANTONIO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-3456",
            "fax_number": "210-567-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYAN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "ETN173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.