NPIMap

Organization Active NPI

Shen Dental Care, P.C.

  • General Practice Dentistry
  • Mount Prospect, IL
National Provider Identifier
1053526194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHEN DENTAL CARE, P.C.
Practice address
325 W Prospect Ave
Suite 2
Mount Prospect, IL 60056-3141
Phone
(847) 392-6556
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael M Shen, D.D.S.NPI 1639225196
Title
President
Phone
(847) 392-6556

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

325 W Prospect Ave
Suite 2
Mount Prospect, IL 60056-3141

Mailing address

325 W Prospect Ave
Suite 2
Mount Prospect, IL 60056-3141
Phone (847) 392-6556

National Provider Directory

National Provider Directory

Locations

325 W Prospect Ave
Ste 2
Mount Prospect, IL 60056
Phone (847) 392-6556

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053526194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W PROSPECT AVE",
            "address_2": "SUITE 2",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563141",
            "telephone_number": "847-392-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W PROSPECT AVE",
            "address_2": "SUITE 2",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563141",
            "telephone_number": "847-392-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEN DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-392-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.