Mills & Shannon, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLS & SHANNON, DMD, PC

Doing business as

Mills & Shannon Dentistry

Practice address

3533 Keagy Rd
Salem, VA 24153-7312

Phone

(540) 989-5700

Fax

(540) 989-0006

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Travis Marshall Shannon, DMDNPI 1669599924

Title

Dentist/Vice President

Phone

(540) 989-5700

Specialties & licenses 1

Addresses

Other names 1

• Mills & Shannon Dentistry Doing business as

Locations

Practitioners 1

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

• Travis M. Shannon

  • General Practice Dentistry
  • Salem, VA
  • NPI 1669599924
  NPD (past) Authorized official

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1073843777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537312",
            "telephone_number": "540-989-5700",
            "fax_number": "540-989-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537312",
            "telephone_number": "540-989-5700",
            "fax_number": "540-989-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS & SHANNON, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "DENTIST/VICE PRESIDENT",
        "authorized_official_telephone_number": "540-989-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills & Shannon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Miller
• Jaclyn Kate Miller, CRNA
• Jennifer Miller
• Leanne Miller, CRNA
• Katherine Nettles Millott, FNP-C
• Garth Allen Mills Jr., PA-C
• John J Minchak, PHARM.D
• Madalina Minciu Macrea, MD
• Daniel Goold Miner, D.P.T.
• Prospero McCalling Miranda, M.D.

• General Practice Dentistry in Salem, VA
• Providers in Salem, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.