SHINY STUDIO PLLC (NPI# 1073155784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073155784 |
| Entity Type | Organization |
| Organization Name | SHINY STUDIO PLLC |
| Practice Address |
112 Industrial Ave Azle TX 76020-2934 |
| Mailing Address |
708 Glen Abbey Dr Southlake TX 76092-1378 |
| Practice Telephone | 8172703700 |
| Mailing Telephone | 3478995601 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | SO CHUNG (OWNER) |
| Authorized Official Telephone | 3478995601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
112 INDUSTRIAL AVE |
| City | AZLE |
| State | TX |
| Zip Code | 76020-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264247 | Tran Bao Dang | Dentist | 112 Industrial Ave, Azle, TX 76020-2934 | 2006-09-14 |
| 1598043549 | So Yeon Chung | Dentist | 112 Industrial Ave, Azle, TX 76020 | 2011-07-25 |
| 1477758233 | Forever Teeth P.l.l.c. | Dentist | 112 Industrial Ave, Azle, TX 76020-2934 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1992112650 | Euverse Neuromonitoring LLC | Neurological Surgery | 1244 Boling Ranch Road N, Azle, TX 76020 | 2014-07-15 |
| 1124378351 | Kathleen C. Anderson | Speech-Language Pathologist | 15873 Flying Jib Dr., Azle, TX 76020 | 2012-09-14 |
| 1386886703 | Janie Darlene Holder | Specialist/Technologist, Other | 10934 Power Squadron Rd., Azle, TX 76020 | 2009-03-31 |
| 1245442367 | Joseph S Mccreary | Dentist | 209 Roe St, Azle, TX 76020 | 2007-05-03 |
| 1659491207 | Phyllis Ann Nelson | Dietitian, Registered | 108 Denver Trail, Harris Methodist Northwest Hospital, Azle, TX 76020 | 2007-03-29 |
| 1548386824 | Terry L Moore | Dentist | 500 Boyd Court, Colleyville, TX 76020 | 2007-03-21 |
| 1437177862 | James Lee Masson | Chiropractor | 1025 Southeast Parkway, Azle, TX 76020 | 2006-07-17 |
| 1982609269 | Azle Manor Health Care, L.l.l.p. | Skilled Nursing Facility | 721 Dunaway Ln, Azle, TX 76020 | 2005-06-14 |
| 1154801165 | Shayna Colleen Lacy | Occupational Therapist | 721 Dunaway Ln, Azle, TX 76020 | 2018-08-19 |
| Find all providers in zip 76020 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHINY STUDIO PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.