Bryan Shireman, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DE60442315 Issued in WA

Practice address

4122 Factoria Blvd SE Ste 301
Bellevue, WA 98006-4277

Phone

(425) 401-5000

NPI assigned

Jan 6, 2014

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Steven L. Paige DDS & Leroy Horton DDS, PLLC

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1316308687
  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1023430311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 36TH ST E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712652",
            "telephone_number": "253-831-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 301",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064277",
            "telephone_number": "425-401-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREMAN",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60442315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine Pediatrics, PLLC
• Louis Scott Cook Shinneman, M.D.
• Brianna Larrabee Shinners
• Eric R Shipley, MD
• Emily Shirai, LMHCA
• Andrea Shirey, LMHC
• Peter Shirey
• Shirin Issa MD PLLC
• Samuel Y Shiu, MD
• Jane Shively-Helbig

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.