Shawn M Kinney DMD, PLLC.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAWN M KINNEY DMD, PLLC.

Practice address

522 W Finnie Flat Rd Ste J
Camp Verde, AZ 86322-7265

Phone

(928) 567-5249

NPI assigned

Apr 7, 2021

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Kinney, DMDNPI 1720430473

Title

Owner

Phone

(260) 479-5853

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Kinney, DMD

  • General Practice Dentistry
  • Camp Verde, AZ
  • NPI 1720430473

  Dental

  NPD Authorized official
• Michael Thomas Hughes, DDS

  • General Practice Dentistry
  • Camp Verde, AZ
  • NPI 1154414142
  NPD
• Eric Pettersen, D.M.D.

  • General Practice Dentistry
  • Camp Verde, AZ
  • NPI 1710903299
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1356920276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863221210",
            "telephone_number": "260-479-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W FINNIE FLAT RD STE J",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227265",
            "telephone_number": "928-567-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M KINNEY DMD, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-479-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Sandoval
• Mary Kathleen Sawert, P.T.
• Thomas Clarence Scherich, D.O.
• Stephen Schwartz, PT
• Tara Marie Sharp
• Leslie Ann Shubat
• Robert Simbric, RPH
• Christine Rene Sossa, RN
• Spectrum Healthcare Group, Inc
• Spectrum Healthcare Group, Inc.

• Dental Clinic/Center in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.