Active NPI
Brian Shinabery
- General Practice Dentistry
- Eldersburg, MD
National Provider Identifier
1043434996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13644
- Practice address
- 6351 Oklahoma Rd
Eldersburg, MD 21784-6620 - Phone
- (410) 795-0101
- Fax
- (410) 795-0765
- NPI assigned
- Apr 12, 2007
- Last updated
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13644 | MD | Primary |
Addresses
Primary practice location
6351 Oklahoma Rd
Eldersburg, MD 21784-6620
Mailing address
6351 Oklahoma Rd
Eldersburg, MD 21784-6620
Phone (410) 795-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13644 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1043434996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6351 OKLAHOMA RD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846620",
"telephone_number": "410-795-0101",
"fax_number": "410-795-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 OKLAHOMA RD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846620",
"telephone_number": "410-795-0101",
"fax_number": "410-795-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINABERY",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "13644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.