Shanna McGettrick DDS,PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901020026 Issued in MI

Legal business name

SHANNA MCGETTRICK DDS,PC

Practice address

6804 Meadow CT
Troy, MI 48098-2032

Phone

(248) 354-1555

Fax

(248) 354-3331

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shanna Marie McGettrick, DDS

Title

President

Phone

(248) 354-1555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1477911832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19178 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752445",
            "telephone_number": "248-354-1555",
            "fax_number": "248-354-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 MEADOW CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982032",
            "telephone_number": "248-354-1555",
            "fax_number": "248-354-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA MCGETTRICK DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "MCGETTRICK",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-354-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901020026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922234988",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Saifullah Shaik, M.D.
• Humna Shaikh, RPH
• Alana M Shamban, CRNA
• Brittany Shamoun
• Rachel Shango
• Erin Oconnell Shannon, LLMSW
• Shari Slebodnik, PHD
• Abbas M Sharif, MD
• Bhupesh Sharma, MD
• Shivani Sharma, RD, LD, CLT

• Dental Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.