Thomas Henry Shipmon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS2076 Issued in TN

Practice address

5170 Sanderlin Ave
Suite 203
Memphis, TN 38117-4360

Phone

(901) 767-3603

Fax

(901) 761-1969

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christopher Todd Bell DDS PLLC

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1598120024
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003995374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SANDERLIN AVE",
            "address_2": "SUITE 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174360",
            "telephone_number": "901-767-3603",
            "fax_number": "901-761-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SANDERLIN AVE",
            "address_2": "SUITE 203",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174360",
            "telephone_number": "901-767-3603",
            "fax_number": "901-761-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMON",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae Won Shin, M.D.
• Aaron Shinault
• Tina Nicole Shinault, FNP-C
• Werner Harumiti Shintaku, DDS
• Destinee Shipley
• Kristi Shipp
• Shirley Ann Spiller-Johnson
• Catherine McGill Shirley, PT, DPT
• Kaitlyn Shirley, NP
• Michael Dale Shirley, D.D.S.

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.