Active NPI
Shannon Elizabeth Walsh, DMD
- General Practice Dentistry
- Middleton, MA
National Provider Identifier
1235722794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1859120
- Practice address
- 11 East St
Middleton, MA 01949-1506 - Phone
- (978) 817-2000
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN1859120 | MA | Primary |
Addresses
Primary practice location
11 East St
Middleton, MA 01949-1506
Mailing address
8 Janet LN
Peabody, MA 01960-5000
Phone (978) 532-1305
Other practice location 1
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859120 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651968000000",
"number": "1235722794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 JANET LN",
"city": "PEABODY",
"state": "MA",
"postal_code": "019605000",
"telephone_number": "978-532-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EAST ST",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491506",
"telephone_number": "978-817-2000"
}
],
"practiceLocations": [
{
"address_1": "500 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Winslow",
"state": "AZ",
"postal_code": "860472169",
"country_code": "US",
"telephone_number": "928-289-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2022-05-08",
"certification_date": "2022-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1859120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.