Michael Shayne Istre, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17988 Issued in TX

Practice address

1144 Airport Blvd Ste 240
Austin, TX 78702-3165

Phone

(512) 929-7888

Fax

(512) 929-8091

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• King Smiles

  • General Practice Dentistry
  • Lakeway, TX
  • NPI 1134300163
  NPD (past) Authorized official
• Shane Istre Dental Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1144312836

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669535696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SENDERA BONITA",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343951",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 AIRPORT BLVD STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023165",
            "telephone_number": "512-929-7888",
            "fax_number": "512-929-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTRE",
        "first_name": "MICHAEL",
        "middle_name": "SHAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Wyllys Isola, LPC
• Merri Isom
• Haneen Issa
• Michael Isseks, D.C.
• Susanna Issoglio
• It'S More Than Milk Lactation Services, LLC
• Sharon Satsuki Itaya, MD
• Andrew S Itkin, MD
• Annika Ittiruck, DDS
• Andrea Ivey, OTR/L

• 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 Jul 8, 2007; 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.