Active NPI
Paul K Shivers DDS
Doing business as shivers dentisry
- Dental Clinic/Center
- Salem, OH
National Provider Identifier
1427533637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PAUL K SHIVERS DDS
- Doing business as
- shivers dentisry
- Practice address
- 2951 St RT 45 S
Salem, OH 44460-9465 - Phone
- (330) 332-9422
- Fax
- (330) 332-0155
- NPI assigned
- Oct 3, 2018
- Last updated
- Jul 8, 2021
- Organization subpart
- Yes
- Parent organization
- SHIVERS DENTISTRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paul K Shivers
- Title
- Front Office
- Phone
- (330) 332-9422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
2951 St RT 45 S
Salem, OH 44460-9465
Mailing address
2951 St RT 45 S
Salem, OH 44460-9465
Phone (330) 332-9422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495003 | Medicaid | OH |
Other names 1
- shivers dentisry
National Provider Directory
National Provider Directory- Part of
- Paul K Shivers DDS
Locations
2951 State Route 45 S
Salem, OH 44460
Phone (330) 332-9422
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Salem, OH
- NPI 1881650406
-
- Dentist
- Salem, OH
- NPI 1699266981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1427533637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 ST RT 45 S",
"city": "SALEM",
"state": "OH",
"postal_code": "444609465",
"telephone_number": "330-332-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 ST RT 45 S",
"city": "SALEM",
"state": "OH",
"postal_code": "444609465",
"telephone_number": "330-332-9422",
"fax_number": "330-332-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL K SHIVERS DDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHIVERS DENTISTRY",
"enumeration_date": "2018-10-03",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "SHIVERS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "FRONT OFFICE",
"authorized_official_telephone_number": "330-332-9422",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0495003",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "shivers dentisry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "shivers dentisry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.