Individual provider Active NPI

Steven Robert Shinebarger, DMD

  • General Practice Dentistry
  • Dansville, NY
National Provider Identifier
1497985634
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50054379 Issued in NY
Practice address
25 Red Jacket St
Dansville, NY 14437-9517
Phone
(585) 335-2201
Fax
(585) 335-7243
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50054379 NY Primary

Addresses

Primary practice location

25 Red Jacket St
Dansville, NY 14437-9517

Mailing address

25 Red Jacket St
Dansville, NY 14437-9517
Phone (585) 335-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410000203 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527344480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50054379NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sci Anesthesia PLLC Past Accepting new patients
Dansville Dental Professionals LLP General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1497985634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379517",
            "telephone_number": "585-335-2201",
            "fax_number": "585-335-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINEBARGER",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50054379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

Verify at the official NPI Registry.