Individual provider Active NPI

Celia Ann Tays, D.M.D.

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1457610685
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17912 Issued in TX
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

Updated by the provider on Feb 25, 2021

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 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

IdentifierTypeStateIssuer
2915837-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
17912TXMDClinical 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.

Verify at the official NPI Registry.