Shawn Cabbell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010607A Issued in IN

Practice address

622 N Madison Ave
Suite 10
Greenwood, IN 46142-4052

Phone

(317) 888-9240

Fax

(317) 245-2134

NPI assigned

Nov 29, 2006

Sex

Male

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Viva Dental

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1710423280
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1366519746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 REFLECTIONS LN",
            "address_2": "#2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462144083",
            "telephone_number": "317-361-2745",
            "fax_number": "317-245-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE",
            "address_2": "SUITE 10",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-888-9240",
            "fax_number": "317-245-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABBELL",
        "first_name": "SHAWN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Butler, LMHC
• Vinnie M Butler, LCSW
• Teddi Byram, PA-C
• Rayiana J Byrd
• Herman Cabacungan
• Martina Cabell
• Elisha Cain, O.D.
• Christa Calais, OTR/L
• Amy Nichole Caldwell, FNP-C
• Brooke Callan, MS, CCC-SLP

• General Practice Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.