KEATON SHIN NPI 1073131587

NPI Information

  • NPI: 1073131587
  • Provider Name: KEATON SHIN
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 17315 ARCATA AVE
    PFLUGERVILLE, TX
    ZIP 78660
  • Phone: (512) 484-9161

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NPI Details

Keaton Shin is a pediatric dentistry dentist in Pflugerville, TX. The provider is an 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. Keaton Shin NPI is 1073131587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17315 ARCATA AVE
PFLUGERVILLE, TX
ZIP 78660-218
Phone: (512) 484-9161

The enumeration date for this NPI number is 7/10/2020 and was last updated on 1/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist37206TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223P0221XDentistPediatric Dentistry37206TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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