Active NPI
Shiny Thomas, DDS
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1326165689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 25053
- Practice address
- 14005 N Highway 183
Suite 800
Austin, TX 78717-5953 - Phone
- (713) 256-0951
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 54336 | CA | |
| Pediatric Dentistry | 1223P0221X | 25053 | TX | Primary |
Addresses
Primary practice location
14005 N Highway 183
Suite 800
Austin, TX 78717-5953
Mailing address
14005 N Highway 183
Suite 800
Austin, TX 78717-5953
Phone (713) 256-0951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25053 | TX | MD | Clinical Social Worker |
| 54336 | CA | MD | Community Health/Public Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258848000000",
"number": "1326165689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14005 N HIGHWAY 183",
"address_2": "SUITE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175953",
"telephone_number": "713-256-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14005 N HIGHWAY 183",
"address_2": "SUITE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175953",
"telephone_number": "713-256-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHINY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2009-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "54336",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "25053",
"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 Nov 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.