Individual provider Active NPI

Alexander Y Shau, D.D.S.

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1679964787
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32753 Issued in TX
Practice address
13616 N Hwy 183 Unit a
Austin, TX 78750-2312
Phone
(512) 682-5437
NPI assigned
Feb 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 32753 TX Primary

Addresses

Primary practice location

13616 N Hwy 183 Unit a
Austin, TX 78750-2312

Mailing address

13616 N Hwy 183 Unit a
Austin, TX 78750-2312
Phone (512) 682-5437

Other practice location 1

893 N Ih 35 Ste 210
Round Rock, TX 78664-4311
Phone (512) 255-1900

Other practice location 2

10510 W Parmer Ln Ste 100
Austin, TX 78717-4876
Phone (512) 716-1500

Other practice location 3

120 Ed Schmidt Blvd Ste C
Hutto, TX 78634-5559
Phone (512) 846-2121

Other practice location 4

1395 S Highway 183 Ste 140
Leander, TX 78641-1419
Phone (512) 220-2729

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

LicenseStateTypeSpecialty
32753TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ac Dentistry PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679964787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 N HWY 183 UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502312",
            "telephone_number": "512-682-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13616 N HWY 183 UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502312",
            "telephone_number": "512-682-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "893 N Ih 35 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786644311",
            "country_code": "US",
            "telephone_number": "512-255-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10510 W Parmer Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787174876",
            "country_code": "US",
            "telephone_number": "512-716-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Ed Schmidt Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786345559",
            "country_code": "US",
            "telephone_number": "512-846-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 S Highway 183 Ste 140",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786411419",
            "country_code": "US",
            "telephone_number": "512-220-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAU",
        "first_name": "ALEXANDER",
        "middle_name": "Y",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32753",
            "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 Mar 17, 2018; 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.