NPIMap

Organization Active NPI

Philip R Shriner DDS PC

  • Dentist
  • Grand Ledge, MI
National Provider Identifier
1437699550
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2915885 Issued in MI
Legal business name
PHILIP R SHRINER DDS PC
Practice address
6111 Peachtree Dr
Grand Ledge, MI 48837-8967
Phone
(517) 622-8443
Fax
(517) 622-4045
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. Philip Richard Shriner, DDSNPI 1972553519
Title
Owner
Phone
(517) 622-8443

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2915885 MI Primary

Addresses

Primary practice location

6111 Peachtree Dr
Grand Ledge, MI 48837-8967

Mailing address

6111 Peachtree Dr
Grand Ledge, MI 48837-8967
Phone (517) 622-8443

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1437699550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378967",
            "telephone_number": "517-622-8443",
            "fax_number": "517-622-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378967",
            "telephone_number": "517-622-8443",
            "fax_number": "517-622-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R SHRINER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "SHRINER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-622-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2915885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.