Individual provider Active NPI

Thomas Joseph Shoniker, DMD

  • General Practice Dentistry
  • Traverse City, MI
National Provider Identifier
1053973818
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600565 Issued in MI
Practice address
2600 Lafranier Rd
Traverse City, MI 49686-4765
Phone
(866) 878-6557
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901600565 MI Primary

Addresses

Primary practice location

2600 Lafranier Rd
Traverse City, MI 49686-4765

Mailing address

3434 M 119 Ste H
Harbor Springs, MI 49740-9373
Phone (231) 251-9083

Other practice location 1

3337 S Airport Rd W Ste 1
Traverse City, MI 49684-7927
Phone (231) 252-1033

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901600565MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Creek Family Dental PLLC Current Accepting new patients
Lake County Dental, Jeffrey S. Rosenthal D.D.S., LLC. Past Accepting new patients
Stephen T Carosello DDS Inc Past Accepting new patients

Locations

3337 S Airport Rd W
Ste 1
Traverse City, MI 49684
Phone (231) 252-1033

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1053973818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 M 119 STE H",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-251-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864765",
            "telephone_number": "866-878-6557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3337 S Airport Rd W Ste 1",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847927",
            "country_code": "US",
            "telephone_number": "231-252-1033",
            "fax_number": "231-252-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHONIKER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.