NPI age
3 years
Enumerated 2022-11-04
● Active Type 2 · Organization
Shine Pediatric Dental Co.
Shine Pediatric Dental Co. is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Severson
Owner
Last NPPES update
2022-11-04
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
3 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2631 Gattis School Rd
Round Rock, TX 786642821
Mailing address
608 Twelve Oaks Ln
Austin, TX 787046355
Authorized official
Sarah Severson, DDS
Owner
📞 5126988766
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Andrea Jobes, LMSW Social Worker NPI 1942005814
- Taylor King Marriage & Family Therapist NPI 1891645644
- Cheryl Moorehead, LMFT-ASSOCIATE Marriage & Family Therapist NPI 1437932209
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.