Active NPI
Celia Ann Tays, D.M.D.
- General Practice Dentistry
- Georgetown, TX
National Provider Identifier
1457610685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17912
- Practice address
- 2411 Williams Dr Ste 111
Georgetown, TX 78628-3268 - Phone
- (877) 800-5722
- Fax
- (512) 864-1447
- NPI assigned
- May 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17912 | TX | Primary |
Addresses
Primary practice location
2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Mailing address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (877) 800-5722
Other practice location 1
2120 N Mays St Ste 430
Round Rock, TX 78664-2108
Phone (877) 800-5722
Other practice location 2
2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Phone (877) 800-5722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2915837-01 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | celia.tays.p1@direct.lscctx.nextgenshare.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17912 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1457610685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE STE 200",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266821",
"telephone_number": "877-800-5722",
"fax_number": "512-869-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 WILLIAMS DR STE 111",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283268",
"telephone_number": "877-800-5722",
"fax_number": "512-864-1447"
}
],
"practiceLocations": [
{
"address_1": "2120 N Mays St Ste 430",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786642108",
"country_code": "US",
"telephone_number": "877-800-5722",
"fax_number": "512-255-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2411 Williams Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "TX",
"postal_code": "786283268",
"country_code": "US",
"telephone_number": "877-800-5722",
"fax_number": "512-864-1447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYS",
"first_name": "CELIA",
"middle_name": "ANN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2915837-01",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celia.tays.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "2411 Williams Dr Ste 111",
"city": "Georgetown",
"state": "TX",
"country_code": "US",
"postal_code": "786283268",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.