Organization Active NPI

Gregory S. Shanbour, D.D.S., M.S.

  • Periodontics
  • Oklahoma City, OK
National Provider Identifier
1003080037
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4585 Issued in OK
Legal business name
GREGORY S. SHANBOUR, D.D.S., M.S.
Practice address
8117 S Walker Ave
Oklahoma City, OK 73139-9476
Phone
(405) 634-2239
Fax
(405) 634-3598
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory S ShanbourNPI 1811999618
Title
Owner
Phone
(405) 634-2239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 4585 OK Primary

Addresses

Primary practice location

8117 S Walker Ave
Oklahoma City, OK 73139-9476

Mailing address

8117 S Walker Ave
Oklahoma City, OK 73139-9476
Phone (405) 634-2239

National Provider Directory

National Provider Directory

Locations

8117 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 634-2239

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1003080037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399476",
            "telephone_number": "405-634-2239",
            "fax_number": "405-634-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399476",
            "telephone_number": "405-634-2239",
            "fax_number": "405-634-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S. SHANBOUR, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SHANBOUR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-634-2239",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.