Stephanie Brooke Shank, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12011699A Issued in IN

Practice address

1700 W Smith Valley Rd
Suite a-1
Greenwood, IN 46142-1599

Phone

(317) 888-9833

Fax

(317) 885-1754

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shank Orthodontics, LLC

  • Dental Clinic/Center
  • Greenwood, IN
  • NPI 1972891687
  NPD (past) Authorized official

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1447548151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD",
            "address_2": "SUITE A-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421599",
            "telephone_number": "317-888-9833",
            "fax_number": "317-885-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD",
            "address_2": "SUITE A-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421599",
            "telephone_number": "317-888-9833",
            "fax_number": "317-885-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12011699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin J Shakun, M.D.
• Kayla Shambarger, NP
• Sarosh A Shamsi, DMD
• Caitlyn Shane
• Shank Orthodontics, LLC
• Mohammad Fazalullah Sharief, M.D.
• Subhash C Sharma, M.D.
• Jesse Wakefield Sharp, PA-C
• Lori Ann Shaw, LCSW
• Virginia H. Shaw, MSN, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.