Organization Active NPI

Shine Orthodontics, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Thornton, CO
National Provider Identifier
1457086662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SHINE ORTHODONTICS, PLLC
Practice address
11989 Holly St
Thornton, CO 80233-1802
Phone
(303) 452-7777
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SHINE ORTHODONTICS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brandon Scheer, DDS, MSD
Title
Owner
Phone
(316) 706-9318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

11989 Holly St
Thornton, CO 80233-1802

Mailing address

11989 Holly St
Thornton, CO 80233-1802

National Provider Directory

National Provider Directory
Tax ID family
Shine Orthodontics PLLC2 organizations share this tax ID, including this one
Part of
Shine Orthodontics PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457086662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11989 HOLLY ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11989 HOLLY ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331802",
            "telephone_number": "303-452-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ORTHODONTICS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHINE ORTHODONTICS, PLLC",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHEER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-706-9318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.