Shane T Ness, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010561 Issued in WA

Practice address

23515 NE Novelty Hill Rd # 206
Redmond, WA 98053-1996

Phone

(425) 898-8699

Fax

(425) 898-1310

NPI assigned

Aug 31, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Shane T Ness DDS PLLC

  dba Ness Family Dentistry

  • Dental Clinic/Center
  • Redmond, WA
  • NPI 1306399381
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306958814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD # 206",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "425-898-8699",
            "fax_number": "425-898-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD # 206",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "425-898-8699",
            "fax_number": "425-898-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESS",
        "first_name": "SHANE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE00010561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal O'Neal, Inc (Pursuit Physical Therapy)
• Nelson Chiropractic Office, LTD, PS
• Curtis E Nelson, DC
• Kaylee Nelson, PT, DPT
• Arne Ness, D.D.S.
• New Ground Counseling
• New Hope Psychological Services, PLLC
• Nexacare LLC
• Vinh Duc Ngo, PHARMD, RPH
• Joanne Nguyen, MSW, LSWAIC

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.