Shane M Dinan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11678 Issued in NC

Practice address

4217 Evansdale Rd
Wilson, NC 27893-7656

Phone

(252) 230-3762

NPI assigned

Mar 30, 2018

Sex

Male

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

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1477059434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 EVANSDALE RD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 EVANSDALE RD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937656",
            "telephone_number": "252-230-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINAN",
        "first_name": "SHANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon G Dewald, M.D.
• Tashauna Rochette Dickens
• Dilda,S Home Care Inc.
• Russell Franklin Dillard
• Christine Gail Dinan, PTA
• Charles Disdier
• Diversified Opportunities, Inc.
• Divine Interventions Counseling Center, PLLC
• Dixon and Holmes DDS, PA
• Andre Dixon

• Occupational Therapist in Wilson, NC
• Providers in Wilson, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.