Individual provider Active NPI

Alok Shiva, DMD

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1154999027
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38681 Issued in TX
Practice address
901 S Mopac Expy Ste 470
Austin, TX 78746-5776
Phone
(512) 327-6947
NPI assigned
Jun 16, 2021
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38681 TX Primary

Addresses

Primary practice location

901 S Mopac Expy Ste 470
Austin, TX 78746-5776

Mailing address

1515 S Lamar Blvd Apt 2437
Austin, TX 78704-0174
Phone (859) 446-1894

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
38681TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Enamel Dentistry Domain PLLC PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1154999027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S LAMAR BLVD APT 2437",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040174",
            "telephone_number": "859-446-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MOPAC EXPY STE 470",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465776",
            "telephone_number": "512-327-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVA",
        "first_name": "ALOK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.