Organization Active NPI

Shiner Dental, PLLC

  • Dental Clinic/Center
  • Shiner, TX
National Provider Identifier
1912219007
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22987 Issued in TX
Legal business name
SHINER DENTAL, PLLC
Practice address
821 N Ave D
Shiner, TX 77984-0556
Phone
(361) 594-2800
Fax
(361) 594-4109
NPI assigned
Jul 6, 2010
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Melanie S Cowan, D.D.S.NPI 1508023839
Title
Dentist/Owner
Phone
(361) 594-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22987 TX Primary

Addresses

Primary practice location

821 N Ave D
Shiner, TX 77984-0556

Mailing address

PO Box 556
821 N Ave D
Shiner, TX 77984-0556
Phone (361) 594-2800

National Provider Directory

National Provider Directory

Locations

821 N Avenue D
Shiner, TX 77984
Phone (361) 594-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1912219007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "address_2": "821 N AVE D",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779840556",
            "telephone_number": "361-594-2800",
            "fax_number": "361-594-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N AVE D",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779840556",
            "telephone_number": "361-594-2800",
            "fax_number": "361-594-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINER DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "361-594-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiner, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.