Shannon & Hunter PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SHANNON & HUNTER PC

Practice address

203 Turnpike St
Ste G-2
North Andovor, MA 01845

Phone

(978) 682-5255

Fax

(978) 682-0656

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Timothy Shannon, DMDNPI 1649378449

Title

Oral & Maxillofacial Surgeon Presid

Phone

(978) 682-5255

Specialties & licenses 1

Addresses

Other names 1

• Northeast Oral Surgery & Dental Implant Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Timothy Shannon, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • North Andover, MA
  • NPI 1649378449
  Medicare reassignment Care Compare group Authorized official
• Michael J. Hunter, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • North Andover, MA
  • NPI 1376641175
  Medicare reassignment Care Compare group
• Mary Dipirro, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Peabody, MA
  • NPI 1437350675
  NPD (past)
• Justin A Hendi, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Suffern, NY
  • NPI 1962670349
  NPD (past)
• Richard M. Mirra, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville Centre, NY
  • NPI 1578668349
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295841757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TURNPIKE STREET",
            "address_2": "SUITE G-2",
            "city": "NORTH ANDOVOR",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-682-5255",
            "fax_number": "978-682-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TURNPIKE ST",
            "address_2": "STE G-2",
            "city": "NORTH ANDOVOR",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-682-5255",
            "fax_number": "978-682-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON & HUNTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON PRESID",
        "authorized_official_telephone_number": "978-682-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Oral Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.