William B Shea, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

MN 8844 Issued in MN

Practice address

277 3Rd St N
Bayport, MN 55003-1028

Phone

(651) 439-2352

Fax

(651) 439-3265

NPI assigned

Feb 27, 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bruce F Filson DDS PA

  • General Practice Dentistry
  • Bayport, MN
  • NPI 1225107998
  NPD (past)
• Nathan J. Jensen, DMD, PLLC

  • Dentist
  • Bayport, MN
  • NPI 1467112037
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124094289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031028",
            "telephone_number": "651-439-2352",
            "fax_number": "651-439-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031028",
            "telephone_number": "651-439-2352",
            "fax_number": "651-439-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "MN 8844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Parker
• Rosalie Pierce-Martin, RD
• Brent D. Plackner, PA-C
• Stanley Dwight Quanbeck, M.D.
• Kelly Rae Schwartzbauer
• Cynthia Silva, RDN, LD
• Vitality Chiropractic, LLC
• David William Wieden, D.C.
• Tara K Woodland, CNP

• All providers in Bayport, MN
• Dentist in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.