Karen Shelburne Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6357 Issued in KY

Practice address

Naval Health Clinic Great Lakes
3001 A Sixth Street
Great Lakes, IL 60088

Phone

(847) 688-2100

Fax

(847) 688-2546

NPI assigned

Jan 17, 2006

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1316927437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30001 A SIXTH ST.",
            "address_2": "NAVAL HEALTH CLINIC",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-2100",
            "fax_number": "847-688-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC GREAT LAKES",
            "address_2": "3001 A SIXTH STREET",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-2100",
            "fax_number": "847-688-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "SHELBURNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam John Shields, DMD
• Kambez Shukoor, D.D.S.
• James Albert Shumaker Sr., IDC
• Faan Yeen Sidor, PSYD
• Bradford Lawrence Smith, M.D.
• Marc Gerald Smith, IDC
• Kortney Spectre
• Brett Staib, NAVY IDC
• Jeffrey A Staples, DDS
• Mark Edward Stone, DDS

• General Practice Dentistry in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.