NPI age
19 years
Enumerated 2007-04-02
● Active
Type 1 · Individual
DR. Krystyn Marie Dishaw, DMD, MS
Dishaw is 1 of 6 dentist providers in Southlake and 1 of 1850 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1850 active dentist providers in Texas.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
1007 Ashlawn Dr
Southlake, TX 760921716
Mailing address
1007 Ashlawn Dr
Southlake, TX 760921716
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3101 W Northwest Hwy
Dallas, TX 752205942
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1479404-03 | |
| 05 (TX) | 1479404-09 | |
| 05 (TX) | 1479404-10 | |
| 05 (TX) | 1479404-04 | |
| 05 (TX) | 1479404-05 | |
| 05 (TX) | 1479404-08 | |
| 05 (TX) | 1479404-12 | |
| 05 (TX) | 1803512-01 | |
| 05 (TX) | 1479404-01 | |
| 05 (TX) | 1479404-06 | |
| 05 (TX) | 1479404-07 | |
| 05 (TX) | 1479404-11 | |
| 05 (TX) | 1803512-02 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.