Shine Thirty-Two Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08599 Issued in IA

Legal business name

SHINE THIRTY-TWO INC.

Practice address

110 SE Grant St
Suite 101
Ankeny, IA 50021-3151

Phone

(515) 965-1800

Fax

(888) 278-0530

NPI assigned

Dec 30, 2015

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelina Blass, D.D.S

Title

President

Phone

(515) 965-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1275998676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SE GRANT ST",
            "address_2": "SUITE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213151",
            "telephone_number": "515-965-1800",
            "fax_number": "888-278-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SE GRANT ST",
            "address_2": "SUITE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213151",
            "telephone_number": "515-965-1800",
            "fax_number": "888-278-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THIRTY-TWO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "BLASS",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-965-1800",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.