Organization Active NPI

Shine Dental Arts, LLC

  • Dental Hygienist
  • Lone Tree, CO
National Provider Identifier
1093086225
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
CO-905211 Issued in CO
Legal business name
SHINE DENTAL ARTS, LLC
Practice address
9224 Teddy LN Ste 102
Lone Tree, CO 80124-6799
Phone
(720) 776-9401
Fax
(303) 648-5433
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Ms. Shona Lynn Armstrong, RDHNPI 1932593373
Title
Owner/Provider
Phone
(207) 769-4017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X CO-905211 CO Primary

Addresses

Primary practice location

9224 Teddy LN Ste 102
Lone Tree, CO 80124-6799

Mailing address

9224 Teddy LN Ste 102
Lone Tree, CO 80124-6799
Phone (720) 776-9401

Other identifiers 1

IdentifierTypeStateIssuer
CO-905211OtherCODORA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shona@shinedentalarts.com Direct

National Provider Directory

National Provider Directory

Locations

9224 Teddy Ln
Ste 102
Lone Tree, CO 80124
Phone (720) 776-9401

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1093086225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 TEDDY LN STE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246799",
            "telephone_number": "720-776-9401",
            "fax_number": "303-648-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 TEDDY LN STE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246799",
            "telephone_number": "720-776-9401",
            "fax_number": "303-648-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SHONA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-769-4017",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "CO-905211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "CO-905211",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shona@shinedentalarts.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9224 Teddy Ln Ste 102",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801246799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.