Anna Shoenberger, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS037358 Issued in PA

Practice address

2406 Hamilton St
Allentown, PA 18104-6214

Phone

(917) 608-7992

NPI assigned

Jun 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Anna Shibanova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1285895359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046214",
            "telephone_number": "917-608-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046214",
            "telephone_number": "917-608-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENBERGER",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037358",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50053964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SHIBANOVA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elliot I Shoemaker, M.D.
• Patricia L Shoemaker, MD
• Sharon Jane Shoemaker, COTA
• Shoenberger Dental Care LLC
• Shoenberger Dental Services
• George Charles Shoenberger Jr., D.D.S.
• Mark Kevin Shoenberger, D.M.D.
• Seyedeh Shadi Shojaei, MD
• Babatunde Sholanke, MD
• Maryam Sholehvar, D.M.D.

• Pediatric Dentistry in Allentown, PA
• Providers in Allentown, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.