Shannon Ankenbrandt,DDS,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002015114 Issued in MO

Legal business name

SHANNON ANKENBRANDT,DDS,LLC

Practice address

1041 Wolfrum Rd
Weldon Spring, MO 63304-7625

Phone

(636) 300-4545

Fax

(636) 329-0244

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Williams Ankenbrandt, DDSNPI 1891945333

Title

Owner

Phone

(636) 219-3963

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shannon Williams Ankenbrandt, D.D.S.

  • Dentist
  • Weldon Spring, MO
  • NPI 1891945333
  NPD (past) Authorized official

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1184069007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-4545",
            "fax_number": "636-329-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-4545",
            "fax_number": "636-329-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON ANKENBRANDT,DDS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "ANKENBRANDT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-219-3963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2002015114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Sasser, LPTA
• Lauren Whitney Schenck, RN
• Jessica Ann Schmidt, RBT
• Kelly Marie Schneider, BEHAVIOR TECHNICIAN
• Lisa Schoenherr
• Gina Lee Shelley, M.A., CCC-SLP
• Kaitlyn Paige Shipman, BCBA
• Anna M Sides, RN
• Paula K Sieve
• Dennis Kirk Sissom, LPTA

• General Practice Dentistry in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.