Shine Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHINE ORTHODONTICS

Practice address

1120 Western Ave
Chillicothe, OH 45601-1174

Phone

(740) 773-0072

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Benjamin McArthur

Title

Director of Operations

Phone

(513) 633-1661

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Agenter, DDS, MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chillicothe, OH
  • NPI 1548404585
  NPD (past)
• Jiabao Sun, DMD, MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maineville, OH
  • NPI 1811758824
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1336603653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-773-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-773-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450362590",
            "country_code": "US",
            "telephone_number": "513-409-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5964 S State Route 48",
            "address_purpose": "LOCATION",
            "city": "Maineville",
            "state": "OH",
            "postal_code": "450398845",
            "country_code": "US",
            "telephone_number": "513-239-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-633-1661"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548404575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Shepherd
• Edward J Sheridan, M.D.
• Jaime Sherman
• Zachary Ryan Sherman
• Nathan D Shiflett, DO
• Shine Orthodontics
• Darlene Shively, OTR/L
• Aaron Bruce Shoemaker
• Cameron Paige Shoemaker, DO
• Rebecca Lynn Shoemaker

• Dental Clinic/Center in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.