Individual provider Active NPI

Mai Stern, DMD

  • General Practice Dentistry
  • Manor, TX
National Provider Identifier
1982228938
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41190 Issued in TX
Practice address
14001 Shadowglen Blvd
Manor, TX 78653-3386
Phone
(512) 278-8700
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 41190 TX Primary

Addresses

Primary practice location

14001 Shadowglen Blvd
Manor, TX 78653-3386

Mailing address

3924 Sierra Dr
Austin, TX 78731-3912
Phone (781) 789-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218002911 VA Order and Referring Only - DentistPractitioner - Dentist 5092242859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41190TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manor Dental Associates General Practice Past Accepting new patients
Spiegelman Smiles PLLC General Practice PastSince Dec 28, 2025 Accepting new patients

Organizations & group practices 2

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1982228938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 SIERRA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313912",
            "telephone_number": "781-789-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 SHADOWGLEN BLVD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533386",
            "telephone_number": "512-278-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

Verify at the official NPI Registry.