Shipley Dental Innovations LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12009310 Issued in IN

Legal business name

SHIPLEY DENTAL INNOVATIONS LLC

Practice address

1904 E Center St
Warsaw, IN 46580-3701

Phone

(574) 376-4244

Fax

(574) 306-2711

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott Edward ShipleyNPI 1710106380

Title

Owner/Dentist

Phone

(574) 377-6426

Specialties & licenses 1

Addresses

Other names 1

• Shipley Dental Innovations 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.

• Scott E Shipley, D.D.S.

  • General Practice Dentistry
  • Warsaw, IN
  • NPI 1710106380
  NPD (past) Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1114385473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E CENTER ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803701",
            "telephone_number": "574-376-4244",
            "fax_number": "574-306-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E CENTER ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803701",
            "telephone_number": "574-376-4244",
            "fax_number": "574-306-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY DENTAL INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "574-377-6426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shipley Dental Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth L Shasteen, LMHC
• Nima Shayesteh, MD
• Olha Anna Shea, MD
• Jennifer Shepherd
• Matthew Sherman
• Scott E Shipley, D.D.S.
• Mackenzie Shireman, DNP, RN, NP-C
• Karen Shivers
• Jill Elaine Shondel, OTR/L
• Janet Shull, MA, LMHC

• Dentist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.