Active NPI
David M Shemo, D.M.D.
- General Practice Dentistry
- Wilkes Barre, PA
National Provider Identifier
1437101441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-028210-L
- Practice address
- 360 Kidder St
Wilkes Barre, PA 18702-5619 - Phone
- (570) 822-4065
- Fax
- (570) 820-9836
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-028210-L | PA | Primary |
Addresses
Primary practice location
360 Kidder St
Wilkes Barre, PA 18702-5619
Mailing address
360 Kidder St
Wilkes Barre, PA 18702-5619
Phone (570) 822-4065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-028210-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437101441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 KIDDER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025619",
"telephone_number": "570-822-4065",
"fax_number": "570-820-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 KIDDER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025619",
"telephone_number": "570-822-4065",
"fax_number": "570-820-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMO",
"first_name": "DAVID",
"middle_name": "M",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-028210-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.