Individual provider Active NPI

Shane Curtis, DDS

  • Endodontics
  • Camp Hill, PA
National Provider Identifier
1285047159
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS039989 Issued in PA
Practice address
395 Saint Johns Church Rd Ste 202
Camp Hill, PA 17011-5750
Phone
(717) 550-4040
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS039989 PA Primary

Addresses

Primary practice location

395 Saint Johns Church Rd Ste 202
Camp Hill, PA 17011-5750

Mailing address

395 Saint Johns Church Rd Ste 202
Camp Hill, PA 17011-5750
Phone (717) 550-4040

Other practice location 1

3458 Neely Rd
Jb Mdl, NJ 08641-5312
Phone (717) 802-6097

Other practice location 2

1199 Colonial Rd
Harrisburg, PA 17112-1900
Phone (717) 545-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 14, 2020 through Jul 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039989PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis Endodontics, PLLC Endodontics CurrentSince Aug 6, 2023 Accepting new patients
Endodontics Associates Endodontics PastSince Jul 1, 2020 Accepting new patients

Locations

395 Saint Johns Church Rd
Ste 202
Camp Hill, PA 17011
Phone (717) 550-4040

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.

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1285047159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SAINT JOHNS CHURCH RD STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115750",
            "telephone_number": "717-550-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SAINT JOHNS CHURCH RD STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170115750",
            "telephone_number": "717-550-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3458 Neely Rd",
            "address_purpose": "LOCATION",
            "city": "Jb Mdl",
            "state": "NJ",
            "postal_code": "086415312",
            "country_code": "US",
            "telephone_number": "717-802-6097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1199 Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171121900",
            "country_code": "US",
            "telephone_number": "717-545-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS039989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.