Organization Active NPI

SS Powers Dental, P.a.

Doing business as King Smiles Dental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1184943086
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SS POWERS DENTAL, P.A.
Doing business as
King Smiles Dental
Practice address
8522 N Lamar Blvd
Austin, TX 78753-5543
Phone
(512) 832-6225
Fax
(512) 832-8454
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Michael Shayne Istre, DDS
Title
Owner
Phone
(512) 832-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8522 N Lamar Blvd
Austin, TX 78753-5543

Mailing address

4825 Concord Rd
Beaumont, TX 77703-1811

Other names 1

  • KING SMILES DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
King Smiles Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8522 N Lamar Blvd
Austin, TX 78753
Phone (512) 832-6225

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1184943086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 CONCORD RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777031811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535543",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS POWERS DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "ISTRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-832-6225",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING SMILES DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 18, 2010; 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.