NPIMap

Organization Active NPI

David B. Shanker, M.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1477765097
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DAVID B. SHANKER, M.D.
Practice address
25 E Washington St Ste 1131
Chicago, IL 60602-1708
Phone
(312) 372-0150
Fax
(312) 372-4249
NPI assigned
May 4, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID B. SHANKER, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. David Bryan Shanker, M.D.NPI 1619905734
Title
Owner
Phone
(312) 372-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

25 E Washington St Ste 1131
Chicago, IL 60602-1708

Mailing address

25 E Washington St Ste 1131
Chicago, IL 60602-1708
Phone (312) 372-0150

National Provider Directory

National Provider Directory
Tax ID family
David B Shanker2 organizations share this tax ID, including this one
Part of
David B Shanker

Other organizations with this tax ID 1

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

Locations

25 E Washington St
Ste 1131
Chicago, IL 60602
Phone (312) 236-3507

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1477765097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1131",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-372-0150",
            "fax_number": "312-372-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1131",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-372-0150",
            "fax_number": "312-372-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. SHANKER, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID B. SHANKER, M.D.",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SHANKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-372-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.