Ke Shang, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

059640 Issued in NY

Practice address

900 Westfall Rd Ste C
Rochester, NY 14618-2635

Phone

(585) 756-5566

Fax

(585) 756-5567

NPI assigned

Aug 19, 2014

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

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1053710673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WESTFALL RD STE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182635",
            "telephone_number": "585-756-5566",
            "fax_number": "585-756-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WESTFALL RD STE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182635",
            "telephone_number": "585-756-5566",
            "fax_number": "585-756-5567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-275-5087",
            "fax_number": "585-273-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANG",
        "first_name": "KE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "059640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary P Shanahan
• Daniel Peter Shand, MD
• Jessica C Shand, MD
• Kate E Shand, PA
• Aaron C Shang, MD, MBA, MSC, MPH
• Edward Shanley
• Dana L Shannon, ANP
• Dominique Shannon
• Elizabeth Shannon, PMHNP
• Erin Kate Shannon, RPA-C

• Periodontics in Rochester, NY
• Providers in Rochester, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.