Vance Cutler Shields, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

248 Issued in SC

Practice address

4605 Oleander Dr Ste a
Myrtle Beach, SC 29577-5739

Phone

(843) 449-9413

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407907769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 OLEANDER DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775739",
            "telephone_number": "843-449-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 OLEANDER DR STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775739",
            "telephone_number": "843-449-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "VANCE",
        "middle_name": "CUTLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "248",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "2299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899777C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZ2299",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel P Sheridan, RN
• Rasesh Sheth, PA-C
• Rupa Ravindra Shetty, M.D.
• Vladimir Sheynman
• Christopher Shields, MD
• Priya Rani Shil
• Kristina Shinabery, PA-C
• Greg Clayton Shirley, DC
• Shiv Enterprise Group LLC
• Neal Shore, DR

• Pediatric Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.