Andrew M. Shore, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS038508 Issued in PA

Practice address

519 Chester Pike
Norwood, PA 19074-1416

Phone

(610) 532-3700

Fax

(610) 532-9842

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Shore-Snyder Dental Center

  • General Practice Dentistry
  • Norwood, PA
  • NPI 1407069750
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1508175332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CHESTER PIKE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741416",
            "telephone_number": "610-532-3700",
            "fax_number": "610-532-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CHESTER PIKE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741416",
            "telephone_number": "610-532-3700",
            "fax_number": "610-532-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "ANDREW",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Pulli
• Chenoa Reese, LMSW
• Jill A. Schott, PHD LPC LPCMH NCC
• Shirlesa Scott, CPD
• Shore-Snyder Dental Center
• Jeffrey Shore, DDS
• Robin E Shore, DMD
• Smiles Group LLC
• Mark P Snyder, DMD
• Patricia Lynn Sutton, D.O.

• Dentist in Norwood, PA
• Providers in Norwood, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.