NPIMap

Organization Active NPI

Shoemaker Family Dental

  • Dentist
  • Jeffersonville, IN
National Provider Identifier
1124350202
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011230A Issued in IN
Legal business name
SHOEMAKER FAMILY DENTAL
Practice address
2310 Allison LN
Jeffersonville, IN 47130-5819
Phone
(812) 288-7135
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Deborah ShoemakerNPI 1245491042
Title
President
Phone
(812) 288-7135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12011230A IN Primary

Addresses

Primary practice location

2310 Allison LN
Jeffersonville, IN 47130-5819

Mailing address

2310 Allison LN
Jeffersonville, IN 47130-5819

National Provider Directory

National Provider Directory

Locations

2310 Allison Ln
Jeffersonville, IN 47130
Phone (812) 288-7135

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1124350202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 ALLISON LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 ALLISON LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305819",
            "telephone_number": "812-288-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOEMAKER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-288-7135",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011230A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.