Kyle L. Shoenberger, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS037255 Issued in PA

Practice address

730 Harrison St
Emmaus, PA 18049-2211

Phone

(610) 942-5437

NPI assigned

Sep 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

Locations

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.

• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153
  Medicare reassignment NPD
• Smile Garden Pediatric Dentistry and Orthodontics LLC

  • Pediatric Dentistry
  • Emmaus, PA
  • NPI 1154787745
  Authorized official Same address or phone
• Guthrie Medical Group, LTD.

  • Nephrology Physician
  • Sayre, PA
  • NPI 1063464410
  NPD
• Guthrie Medical Group, P.C.

  • Obstetrics & Gynecology Physician
  • Sayre, PA
  • NPI 1053363408
  NPD
• Guthrie Medical Group, P.C.

  • Gastroenterology Physician
  • Sayre, PA
  • NPI 1336191782
  NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Sayre, PA
  • NPI 1508818733
  NPD
• Guthrie Medical Group, P.C.

  • Orthopaedic Surgery Physician
  • Sayre, PA
  • NPI 1851343206
  NPD
• Guthrie Medical Group, P.C.

  • Ophthalmology Physician
  • Sayre, PA
  • NPI 1962454314
  NPD

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1316197569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 OAKWOOD TRL",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034565",
            "telephone_number": "610-248-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492211",
            "telephone_number": "610-942-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENBERGER",
        "first_name": "KYLE",
        "middle_name": "L.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS037255",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandula Seneviratne, MS, CCC-SLP
• Seven Generations Charter School
• Presha Shah
• Deborah Ann Shalders, M.D.
• Pamela Jeanne Shields, PSY.D.
• Javad Sholehvar, M.D.
• Kira Silimperi
• Samantha Silliman, MS/CCC-SLP
• Eric Simoneau, NASM-CPT
• Simply Comfort Home Care LLC

• Dentist in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.