Shull Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHULL FAMILY DENTISTRY

Practice address

1211 Liberty St SE
Salem, OR 97302-4243

Phone

(503) 362-5019

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Levi James-Oliver Shull, DMDNPI 1407283500

Title

Owner

Phone

(971) 269-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Levi J.O. Shull, D.M.D.

  • Dentist
  • Salem, OR
  • NPI 1407283500
  NPD (past) Authorized official
• Donald J. Paluska Jr., D.M.D.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1750388062
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1407416746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024243",
            "telephone_number": "503-362-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "JAMES-OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-269-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER",
            "identifier": "140728500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bijaya Krishna Shrestha, M.D
• Sarah Shrestha, FNP
• James Thomas Shrewsbury, PHD, MSW, LCSW
• Shruti Jadeja, DDS, LLC
• Hannah Shuholm
• Levi J.O. Shull, D.M.D.
• Carlene Kaliher Shultz, PSYD
• Adam T Shupe, O.D.
• Ingrid Christina Siadal, MED, MSW
• Cindi R Sibert, LCSW

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.