NPIMap

Organization Active NPI

Shannon Allison, DDS, PA

  • General Practice Dentistry
  • Pinehurst, NC
National Provider Identifier
1275715674
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHANNON ALLISON, DDS, PA
Practice address
15 Aviemore Dr
Pinehurst, NC 28374-9797
Phone
(910) 295-4343
Fax
(910) 295-3913
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Dr. Shannon Allison, DDS
Title
President
Phone
(910) 585-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15 Aviemore Dr
Pinehurst, NC 28374-9797

Mailing address

15 Aviemore Dr
Pinehurst, NC 28374-9797
Phone (910) 295-4343

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shannon@pinehurstdentist.com

National Provider Directory

National Provider Directory

Locations

15 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 295-4343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1275715674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4343",
            "fax_number": "910-295-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4343",
            "fax_number": "910-295-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON ALLISON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-585-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannon@pinehurstdentist.com",
            "affiliation": "N",
            "address_1": "15 Aviemore Dr",
            "city": "Pinehurst",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283749797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.