Brian Mark Shea, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19380 Issued in MA

Practice address

335 Corey Street
West Roxbury, MA 02132-1614

Phone

(617) 327-5335

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Shea DMD Inc

  • Dentist
  • West Roxbury, MA
  • NPI 1750451522
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285857813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 COCHATO ROAD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844628",
            "telephone_number": "781-356-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 COREY STREET",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321614",
            "telephone_number": "617-327-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "BRIAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Daniel Shapeton, M.D.
• Jodie Shapiro, PSY.D.
• Gummuluru V.R.K. Sharma, M.D.
• William Peter Shattuck, RRT
• Shaws Supermarkets Inc (Star Market Pharmacy #3577)
• Richard John Shea, DMD
• Richard W Shea, DMD
• Paula Shevenell, LMHC
• Kathleen Mary Shute, NP
• Nuba Afzal Siddiqi, DMD

• General Practice Dentistry in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.