Frank R Shane DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

5237 Issued in MD

Legal business name

FRANK R SHANE DDS PA

Practice address

13 Margaret Ave
Baltimore, MD 21221

Phone

(410) 391-6200

Fax

(410) 391-6201

NPI assigned

Oct 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank R Shane, DDS

Title

President

Phone

(410) 391-6200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124118559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MARGARET AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "410-391-6200",
            "fax_number": "410-391-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MARGARET AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "410-391-6200",
            "fax_number": "410-391-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK R SHANE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-391-6200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• 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.