Shiny Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

16199 Issued in TX

Legal business name

SHINY DENTAL PLLC

Practice address

1907 S Highway 183 Ste 206
Leander, TX 78641-2211

Phone

(512) 259-5000

Fax

(512) 259-5001

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Melinda Jones, DDS

Title

Owner

Phone

(512) 259-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1992040703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S HIGHWAY 183 STE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412211",
            "telephone_number": "512-259-5000",
            "fax_number": "512-259-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S HIGHWAY 183 STE 206",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412211",
            "telephone_number": "512-259-5000",
            "fax_number": "512-259-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-259-5000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.