Shimmering Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN17747 Issued in FL

Legal business name

SHIMMERING DENTAL

Practice address

6958 Shimmering Dr
Lakeland, FL 33813-3331

Phone

(863) 225-5600

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Abraham Stein

Title

Owner/Dentist

Phone

(863) 225-5600

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1295194165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 SHIMMERING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133331",
            "telephone_number": "863-225-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 SHIMMERING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133331",
            "telephone_number": "863-225-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMMERING DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "863-225-5600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17747",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16366",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulab Sher, MD
• Stephen E Sherling Sr., RPH
• Glenn Robert Sheumaker, D.D.S.
• Michael N. Shevach, MD
• Candace A Shim, LMHC, NCC
• Shinin Starz Inc.
• Josephine M.C. Shinn, MD
• Katherine Shipley
• Shirin Yasrebi, DDS
• Richard Logan Shirley

• Dentist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.