Active NPI
Stephen Patrick Shinkle, DMD
- General Practice Dentistry
- Cincinnati, OH
National Provider Identifier
1255316147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535791 | Medicaid | OH | |
| 311657400026 | Other | CARE SOURCE | |
| 0007307 | Other | DORAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17259 | OH | MD | General 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.