Sculpture32 Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SCULPTURE32 ORTHODONTICS, LLC

Practice address

409 Main St
Reisterstown, MD 21136-1905

Phone

(410) 833-9330

NPI assigned

May 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jason Shoe, DMD MSNPI 1497020275

Title

Authorized Member

Phone

(717) 634-7912

Specialties & licenses 1

Addresses

Other names 1

• Shoe Orthodontics 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.

• Jason Shoe, DMD MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hanover, PA
  • NPI 1497020275
  NPD Authorized official

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1104400811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361905",
            "telephone_number": "410-833-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361905",
            "telephone_number": "410-833-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTURE32 ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "SHOE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "717-634-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoe Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberta Ann Schulman, SLP
• Alvin Meyer Schuster, DDS
• Doreen Scott, LCPC
• James W Scott Jr., CAC AD
• Lateshia Scott
• Seed Fund
• Ashley M Sellman
• Serenity Pastoral Counseling Center
• Mandana Shahbazi, MD
• Jameka Shaw, CNA, PCT

• Orthodontics and Dentofacial Orthopedics Dentistry in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.