Active NPI
Irving Jen Shen, D.D.S.
- Dentist
- Salisbury, MD
National Provider Identifier
1265682363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- MD6558
- Practice address
- 105 Pine Bluff Rd
Suite 5
Salisbury, MD 21801-7160 - Phone
- (410) 749-9180
- NPI assigned
- Sep 25, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | MD6558 | MD | Primary |
Addresses
Primary practice location
105 Pine Bluff Rd
Suite 5
Salisbury, MD 21801-7160
Mailing address
105 Pine Bluff Rd
Suite 5
Salisbury, MD 21801-7160
Phone (410) 749-9180
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 |
|---|---|---|---|
| MD6558 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1265682363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PINE BLUFF RD",
"address_2": "SUITE 5",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017160",
"telephone_number": "410-749-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PINE BLUFF RD",
"address_2": "SUITE 5",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017160",
"telephone_number": "410-749-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "IRVING",
"middle_name": "JEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "MD6558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.