Eugene Bruce Shoemaker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4261 Issued in WI

Practice address

1600 Summit Ave
Suite B
Waukesha, WI 53188-3236

Phone

(262) 542-0431

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• DRS Shoemaker & Gilson SC

  • General Practice Dentistry
  • Waukesha, WI
  • NPI 1831223981
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093732836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S44W23606 AMY JAMES DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897958",
            "telephone_number": "262-574-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUMMIT AVE",
            "address_2": "SUITE B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883236",
            "telephone_number": "262-542-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "EUGENE",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supriya K Shetty, DDS
• Zach Shiels, D.C.
• Nathaniel Y Shin
• Tsering-Drolma Shingza
• Tammy J Shipler
• Shopko Stores Operating Co LLC (Shopko Eyecare Center 4217)
• Shoptikal LLC (Shopko Optical 4217)
• Shorehaven Behavioral Health Inc
• Carolyn R Short
• Karen Short, OTR

• General Practice Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.