Jon Aaron Shneidman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI011668 Issued in NJ

Practice address

Dept of the Army, Dental Activity Stop B
2817 Reilly Rd, MCDS-NA-B
Fort Bragg, NC 28310-0001

Phone

(910) 396-5610

Fax

(910) 396-7017

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225008428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF THE ARMY, DENTAL ACTIVITY STOP B",
            "address_2": "2817 REILLY RD, MCDS-NA-B",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-396-5610",
            "fax_number": "910-396-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF THE ARMY, DENTAL ACTIVITY STOP B",
            "address_2": "2817 REILLY RD, MCDS-NA-B",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-396-5610",
            "fax_number": "910-396-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNEIDMAN",
        "first_name": "JON",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI011668",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020535L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Sheppard, CRNA
• Robin Diane Sherard, LMSW
• William Josiah Sherman, D.O.
• Jack Henry Sherwood
• Akira Shinomiya
• Joel Allen Shoemaker, DC
• Seth Christian Short, DO
• Johanna Rosa Siemon, OTR/L
• Eric Russell Sigmon, MD
• Lori Sigrist, PHD, RD

• General Practice Dentistry in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.