Shannon Candid Louisiana, Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION

Practice address

804 Main St
Baton Rouge, LA 70802-5528

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Shannon

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1336756436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MAIN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025528",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MAIN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025528",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaista H. Faruqui, M.D. Apmc
• Ghaith Qasem Shamaileh, MD
• Kenyatta D. Shamlin, M.D.
• Tasha C. Shamlin, M.D.
• Shane Tewis, DDS of Louisiana, a Professional Dental LLC
• Shannon E Smith LPC, LLC
• Amie B Shannon, M.D.
• Michael Joseph Shannon, DDS
• Omeeka Shannon
• Robin Chatman Shannon, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.