Shannon M Sims, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2016042978 Issued in MO

Practice address

209 N Missouri St
Macon, MO 63552-1745

Phone

(660) 395-5045

Fax

(660) 395-5048

NPI assigned

Jan 5, 2017

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1134664782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-627-5757",
            "fax_number": "660-627-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521745",
            "telephone_number": "660-395-5045",
            "fax_number": "660-395-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2016042978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Advocates for Independent Living
• Stephanie Luecke Schneider, ATC, LAT
• Cole Schornheuser
• Cynthia Marie Seiler, M.P.T.
• Kirsten Renae Simms, OTRL
• Lillian M Snider, MA, LPC
• Clifford Strupp, MD, MBA
• Surgical Care Center, LLC
• Jason Lee Taylor, PHARM D
• Matthew Theriac, D.D.S.

• Dental Hygienist in Macon, MO
• Providers in Macon, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.