Shauna Anderson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9776 Issued in MN

Practice address

9800 Shelard Pkwy
Suite #130
Plymouth, MN 55441-6411

Phone

(763) 525-5011

Fax

(763) 525-8943

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shauna Lynn Novak Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asp Dental, PC

  dba Novak Family Dentistry

  • Dental Clinic/Center
  • Plymouth, MN
  • NPI 1952918781
  NPD (past)
• Shauna Anderson Novak ,D.D.S.,P.a.

  • Dentist
  • Plymouth, MN
  • NPI 1801090170
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033311717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE #130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-525-5011",
            "fax_number": "763-525-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE #130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-525-5011",
            "fax_number": "763-525-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAUNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "NOVAK",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erik Weston Anderson, MD
• Jordan Anderson
• Kyle John Anderson, MD
• Rebecca Anderson, M.D.
• Sandra Mae Anderson, LPCC
• Shelly L Anderson, M.D.
• Susan Anderson, PHARM D
• Laura Utz Anderton, NP
• Anjani Sahaay LLC (Home Helpers Home Care of Eden Prairie, MN)
• Anne Byer PHD Licensed Psychologist PLLC

• General Practice Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• General Practice Dentistry in Minnesota

• 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.