Individual provider Active NPI

Stephen Patrick Shinkle, DMD

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1255316147
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17259 Issued in OH
Practice address
3020 Madison Rd
Cincinnati, OH 45209-1710
Phone
(513) 531-0600
Fax
(513) 531-0600
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17259 OH Primary

Addresses

Primary practice location

3020 Madison Rd
Cincinnati, OH 45209-1710

Mailing address

3020 Madison Rd
Cincinnati, OH 45209-1710
Phone (513) 531-0600

Other identifiers 3

IdentifierTypeStateIssuer
0535791MedicaidOH
311657400026OtherCARE SOURCE
0007307OtherDORAL AMERIGROUP

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

LicenseStateTypeSpecialty
17259OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255316147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091710",
            "telephone_number": "513-531-0600",
            "fax_number": "513-531-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091710",
            "telephone_number": "513-531-0600",
            "fax_number": "513-531-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINKLE",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535791",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "311657400026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL AMERIGROUP",
            "identifier": "0007307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.