Kimberly Shain, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001X Issued in TN

Practice address

406 Uptown SQ
Murfreesboro, TN 37129-0575

Phone

(615) 217-9090

Fax

(615) 217-9070

NPI assigned

Mar 2, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316075930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290575",
            "telephone_number": "615-217-9090",
            "fax_number": "615-217-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290575",
            "telephone_number": "615-217-9090",
            "fax_number": "615-217-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIN",
        "first_name": "KIMBERLY",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1403603",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4041788",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navin P. Shah, M.D.
• Nidhi Rajendrakumar Shah, RN
• Pramod A Shah, MD
• Vishant Shah, MD
• Tommy Shahan, LCSW
• Kyra Shambaugh
• Emma Jo Shamburger
• Kimberly Shannon, M.D.
• Anahita Sharghy
• Sundus Gamal Sharhan, PA-C

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.