Shana Nistar, D.D.S. P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

24242 Issued in TX

Legal business name

SHANA NISTAR, D.D.S. P.C.

Doing business as

Stone Oak Smiles

Practice address

1202 E Sonterra Blvd
502
San Antonio, TX 78258-4089

Phone

(210) 349-3715

NPI assigned

Jun 2, 2012

Last updated

Jun 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahnaaz Nistar, D.D.S.

Title

Director

Phone

(210) 349-3715

Specialties & licenses 1

Addresses

Other names 1

• Stone Oak Smiles Doing business as

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.

• Elizabeth Dominique Mattsson, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1104071794
  NPD (past)

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338595200000",
    "number": "1932460318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD",
            "address_2": "502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584089",
            "telephone_number": "210-349-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD",
            "address_2": "502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584089",
            "telephone_number": "210-349-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANA NISTAR, D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-02",
        "last_updated": "2012-06-02",
        "status": "A",
        "authorized_official_last_name": "NISTAR",
        "authorized_official_first_name": "SHAHNAAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-349-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "24242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Oak Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherif M Shamaa I, M.D.
• Henry Pokardas Shamdas, LVN
• Shukhratilla Shamshitdinov
• Kinza Shamsi, MD
• Mumtaz Shamsuddin, OTR/L, MOT, MA
• Kimberly Shanahan, RPHT
• Sarah Shanahan
• Dawn Rae Shands, SLP
• Shane LLC (Pinetree Lane)
• Ann Mariah Shangraw, PHARMD

• Preferred Provider Organization in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; 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.