William G. Shaner DDS, Ms, PC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

285 Issued in CO

Legal business name

WILLIAM G. SHANER DDS, MS, PC.

Practice address

2575 Montebello Dr W Ste 101
Colorado Springs, CO 80918-6959

Phone

(171) 959-9510

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William G. Shaner, D.D.S. M.S.

Title

President

Phone

(719) 599-5107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093867905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MONTEBELLO DR W STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186959",
            "telephone_number": "171-959-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 MONTEBELLO DR W STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186959",
            "telephone_number": "171-959-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G. SHANER DDS, MS, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17195995107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.