Active NPI
Thomas Joseph Shoniker, DMD
- General Practice Dentistry
- Traverse City, MI
National Provider Identifier
1053973818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901600565
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600565 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Traverse City, MI
- NPI 1174478796
-
- Dentist
- Mentor, OH
- NPI 1396292405
-
- Dentist
- Mentor, OH
- NPI 1376704825
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.