Active NPI
Michael Charles Shoff, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bellingham, WA
National Provider Identifier
1265787386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE 60289983
- Practice address
- 3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735 - Phone
- (360) 676-1401
- Fax
- (360) 676-4097
- NPI assigned
- Jul 14, 2012
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE 60289983 | WA | Primary |
Addresses
Primary practice location
3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735
Mailing address
3628 Meridian St
Suite 2B
Bellingham, WA 98225-1735
Phone (360) 676-1401
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60289983 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas G. White, D.D.S.,M.S. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Michael Shoff P.L.L.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bellingham, WA
- NPI 1568819209
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bellingham, WA
- NPI 1215156278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1265787386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 MERIDIAN ST",
"address_2": "SUITE 2B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251735",
"telephone_number": "360-676-1401",
"fax_number": "360-676-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 MERIDIAN ST",
"address_2": "SUITE 2B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251735",
"telephone_number": "360-676-1401",
"fax_number": "360-676-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOFF",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-14",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE 60289983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.