Shane Istre Dental Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SHANE ISTRE DENTAL ASSOCIATES

Doing business as

Smile Center PA

Practice address

1144 Airport Blvd
#240
Austin, TX 78702

Phone

(512) 929-7888

Fax

(512) 929-8091

NPI assigned

Sep 29, 2006

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Shayne Istre, DDSNPI 1669535696

Title

Owner President

Phone

(512) 535-8911

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SMILE CENTER PA Doing business as

Locations

Practitioners 4

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.

• Michael Shayne Istre, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1669535696
  NPD (past) Authorized official
• Ronald John Caldwell, DDS

  • Dentist
  • Bastrop, TX
  • NPI 1417010489

  General Practice

  NPD (past)
• Sara Huizinga Gowin, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1992854632
  NPD (past)
• Teshana Nate Murray, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1063575082
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1144312836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD",
            "address_2": "#240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD",
            "address_2": "#240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE ISTRE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "ISTRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "512-535-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091333701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "G60109-3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE CENTER PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Galindo Shamsie, PHARM.D.
• Jamie Shanahan, APRN, FNP-C
• Kristin Shanahan, LPC
• Shanan Chiropractic
• Shane Edward Keller MD PA (Parkway Primary Care)
• Shane Matt, DDS PLLC (Authentic Smiles)
• James Howard Shane, M.D.
• Jonathan Ryan Shaner, D.C.
• Sarah Alexis Laurielle Shaney, LCSW
• Courtney Safron Shanitkvich, RD

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.