Jennifer Shannon, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038393 Issued in PA

Practice address

4400 Deer Path Rd Ste 101
Harrisburg, PA 17110-3908

Phone

(717) 364-5986

NPI assigned

Aug 5, 2010

Last updated

Feb 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiles by Shannon Dental

  • Dental Clinic/Center
  • Harrisburg, PA
  • NPI 1306409263
  NPD (past) Authorized official
• Glenn C Seitz PC

  dba Locust Lane Dental Group

  • Dentist
  • Harrisburg, PA
  • NPI 1093891848
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1083928782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 DEER PATH RD STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103908",
            "telephone_number": "717-364-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 DEER PATH RD STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103908",
            "telephone_number": "717-364-5986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Locust Ln",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095677",
            "country_code": "US",
            "telephone_number": "717-652-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JENNIFER",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038393",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Rivera Counseling, LLC
• Amanda Maria Cason Shandor, FNP-BC
• Shangri-la Home Care, LLC
• Ciara Shank, CNM
• Kyra Shank, PA-C
• Radhika Sharma, MD
• Shiva Sharma
• Sharon R. Frankel, M.D.
• Ann Sharp, LCSW
• Ronald Earl Sharp, ED.D.

• General Practice Dentistry in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.