Evanthia Nicole Shook, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D15163 Issued in MN

Practice address

7890 Mitchell Rd
Eden Prairie, MN 55344-2219

Phone

(952) 937-7677

NPI assigned

Mar 25, 2020

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• High Point Dentistry #8, PLLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1932065042
  NPD
• Bruce Merry DDS, PLLC

  • General Practice Dentistry
  • Eden Prairie, MN
  • NPI 1932768157
  NPD (past)
• Evergreen Dental PLLC

  • Dental Clinic/Center
  • Eden Prairie, MN
  • NPI 1699483941
  NPD (past)
• Deborah L. Beaty D.D.S., P.C.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1053587717
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1396372777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442219",
            "telephone_number": "952-937-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442219",
            "telephone_number": "952-937-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "EVANTHIA",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032653",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Shelso, LADC
• Shibli Home Health Care Services LLC
• Shining Angels Care LLC
• Shiraz Asif DDS,LLC (Anderson Lake Dental)
• Leah Yvonne Shirley, CMT
• Thomas Chung Tong Hon Shum
• Andrew Terry Sideris, MD
• Sidky Family Dentistry
• Haydi Robeir Sidky, D.D.S.
• Scott Douglas Sidney, MD

• Dentist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.