SS McNabb Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SS MCNABB 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 11, 2010

Last updated

May 11, 2010By 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

Michael Shayne Istre, DDS

Title

Owner

Phone

(512) 832-6225

Specialties & licenses 1

Addresses

Other names 1

• KING SMILES DENTAL Doing business as

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1265750558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 E PARK ROW DR",
            "address_2": "A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104508"
        },
        {
            "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 MCNABB DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING SMILES DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shuba Srinivasan, PA
• Bhavani D Sriramaneni, DMD
• Arjun Srivastava, M.D., M.ED.
• Celeste Alexis Srour, FNP-C
• Fletcher Douglas Srygley IV, MD
• SS Powers Dental, P.a. (King Smiles Dental)
• SSP Care LLC
• St David's South Austin Medical Center
• St Davids Austin Area ASC LLC (St . David's Austin Surgery Center)
• St Davids Healthcare Partnership LP LLP (St. David's Cardiovascular Imaging Center-Western Trails)

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

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