Individual provider Active NPI

Celeste Lindsay Shear, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1407377351
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22821 Issued in FL
Practice address
1100 N Alafaya TRL Ste 160
Orlando, FL 32828-5966
Phone
(407) 277-7773
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22821 FL Primary

Addresses

Primary practice location

1100 N Alafaya TRL Ste 160
Orlando, FL 32828-5966

Mailing address

654 San Pablo Ave
Casselberry, FL 32707-5714
Phone (407) 914-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922000944 FL Order and Referring Only - DentistPractitioner - Dentist 0941574479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1407377351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 SAN PABLO AVE",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075714",
            "telephone_number": "407-914-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ALAFAYA TRL STE 160",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285966",
            "telephone_number": "407-277-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAR",
        "first_name": "CELESTE",
        "middle_name": "LINDSAY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.