Shane J Doot, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Practice address

7400 W College Dr
Palos Heights, IL 60463-1155

Phone

(708) 448-8670

Fax

(708) 448-8698

NPI assigned

Jan 4, 2007

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

Not listed in the public Medicare enrollment file

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.

• Midwest Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Palos Heights, IL
  • NPI 1679761969
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124175963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631155",
            "telephone_number": "708-448-8670",
            "fax_number": "708-448-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631155",
            "telephone_number": "708-448-8670",
            "fax_number": "708-448-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOT",
        "first_name": "SHANE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyn Divinagracia
• Paresh Dixit, M.D.
• Bruce R Dolitsky, MD
• Amanda Nikol Donald
• Cheryl Donohue, MPT
• Kristin Simerdla Doyle, NP-C
• Dr Laura a Beaumont
• Dr Matthew E Schmidt & Associates Ophthalmologists S.C.
• Dr. Almasri and Associates Inc.
• Dr. Matthew E. Schmidt & Associates Ophthalmologists S.C.

• Oral and Maxillofacial Surgery (Dentist) in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.