P Praxis·MD
● Active Type 1 · Individual

DR. Shine John, DPM

Podiatrist·Austin, TX· NPI 1245407295 · Enumerated 2008 · 18 years on NPI
John is 1 of 32 podiatrist providers in Austin and 1 of 1136 in Texas.
NPI age
18 years
Enumerated 2008-05-09
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1136 active podiatrist providers in Texas.

NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
11614 Fm 2244 Rd Ste 150
Austin, TX 787385471
📞 5123995711fax 5123995707
Mailing address
11614 Fm 2244 Rd Ste 150
Austin, TX 787385471
📞 5123995711fax 5123995707

Specialties

  • Podiatrist Primary
    Definition to come...
    TX license #1910 taxonomy 213ES0103X
  • Podiatrist
    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
    IL license #016005365TX license #1910 taxonomy 213E00000X

Identifiers

TypeValueNotes
01 (IL) 016005365 IL STATE LICENSE
01 (TX) 1910 STATE OF TEXAS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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