Shamblott Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHAMBLOTT FAMILY DENTISTRY

Practice address

33 10TH Ave S
Suite 250
Hopkins, MN 55343-1303

Phone

(952) 935-5599

Fax

(952) 935-7842

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Bettina Lea Verhalen

Title

Clinic Administrator

Phone

(952) 935-5599

Specialties & licenses 1

Addresses

Practitioners 1

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

• Scott Elliot Shamblott, DDS

  • Dentist
  • Hopkins, MN
  • NPI 1144311283
  NPD (past)

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1174872949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 10TH AVE S",
            "address_2": "SUITE 250",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553431303",
            "telephone_number": "952-935-5599",
            "fax_number": "952-935-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 10TH AVE S",
            "address_2": "SUITE 250",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553431303",
            "telephone_number": "952-935-5599",
            "fax_number": "952-935-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMBLOTT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "VERHALEN",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "952-935-5599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Seaverson, DDS
• Kari Lynn Seaverson, D.D.S.
• Katarina Sedlacek
• Yasir Seed
• Audreyanna Hope Seidlitz
• Scott Elliot Shamblott, DDS
• Morgan Shannon, DPT
• Cynthia Sharp
• Deanne T Shaw, LMFT
• Dayna Sherman, C.M.T.

• Dentist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.