Bryan Allan Shumaker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12181 Issued in NJ

Practice address

81 State Route 34 S
Suite D
Colts Neck, NJ 07722-1783

Phone

(732) 431-0800

Fax

(732) 431-1694

NPI assigned

Aug 22, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326154337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STATE ROUTE 34 S",
            "address_2": "SUITE D",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221783",
            "telephone_number": "732-431-0800",
            "fax_number": "732-431-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 STATE ROUTE 34 S",
            "address_2": "SUITE D",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221783",
            "telephone_number": "732-431-0800",
            "fax_number": "732-431-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "BRYAN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "12181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Shor, LPC, ATR-BC
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• Sllccninc.
• Shannon P Smith, LSW, LCADC
• Patricia Sobal, MSED
• Beth Sobol, MSW
• Dana Spada, PHD, LCSW

• General Practice Dentistry in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.