Active NPI
Michelle Short
- Dental Hygienist
- Shrewsbury, NJ
National Provider Identifier
1467120329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 22HI00938400
- Practice address
- 1040 Broad St
Shrewsbury, NJ 07702-4331 - Phone
- (813) 539-4062
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22HI00938400 | NJ | Primary |
Addresses
Primary practice location
1040 Broad St
Shrewsbury, NJ 07702-4331
Mailing address
9 Sargent Rd
Freehold, NJ 07728-5903
Phone (120) 140-3750
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22HI00938400 | NJ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1467120329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SARGENT RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285903",
"telephone_number": "120-140-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 BROAD ST",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024331",
"telephone_number": "813-539-4062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NJ",
"license": "22HI00938400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, NJ
- Shore Advanced Wound Care LLC
- Shore Child Counseling Inc.
- Shore Health and Wellness LLC
- Shore Medical DME
- Shore Medicine & Pediatrics Associates P a
- Kristen Shortell, MS, LPC, LPAT ATR-BC
- SHP VI Shrewsbury LLC (The Chelsea at Shrewsbury)
- Shrewsbury Ambulatory Anesthesia LLC
- Shrewsbury Dental Associates,PA
- Shrewsbury Diagnostic Imaging, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.