Active NPI
Alison D Shields, D.D.S.
- Dentist
- Harlan, IA
National Provider Identifier
1487883948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08620
- Practice address
- 5013 Ridgeway Dr
Harlan, IA 51537-2385 - Phone
- (712) 755-3466
- Fax
- (712) 755-3466
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 08620 | IA | Primary |
Addresses
Primary practice location
5013 Ridgeway Dr
Harlan, IA 51537-2385
Mailing address
PO Box 109
Harlan, IA 51537-0109
Phone (712) 755-3466
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 |
|---|---|---|---|
| 08620 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1487883948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 109",
"city": "HARLAN",
"state": "IA",
"postal_code": "515370109",
"telephone_number": "712-755-3466",
"fax_number": "712-755-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5013 RIDGEWAY DR",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372385",
"telephone_number": "712-755-3466",
"fax_number": "712-755-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ALISON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlan, IA
- Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center - Behavioral Health)
- Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center Public Health)
- Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center)
- Shelby County Physical Therapy, Inc.
- Edith H Shetler, SLP
- Shopko Stores Operating Co LLC (Shopko Pharmacy 682)
- Denise N Smith, LMHC, NCC
- Katrina Lee Smith, LMHC
- Jean R Stamp, A.R.N.P.
- Jessica Stangl
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.