Aleksandr Shibko, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D12180 Issued in MN

Practice address

1790 E 7TH St
St Paul, MN 55119

Phone

(651) 735-0595

Fax

(651) 735-0521

NPI assigned

Jun 6, 2006

Last updated

Jul 27, 2007By 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 MN

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

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1518906445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E 7TH ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55119",
            "telephone_number": "651-735-0595",
            "fax_number": "651-735-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E 7TH ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55119",
            "telephone_number": "651-735-0595",
            "fax_number": "651-735-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBKO",
        "first_name": "ALEKSANDR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Sherman Crandell, M.A.
• Cindy Sherman
• Cynthia A Sherman, MD
• Jennifer Lyn Sherman, PT
• Hannah Shibeshi, DNP, APRN, AGCNS-BC
• Charles Raymond Shideman, M.D., PH.D.
• Shilpa S. Parikh, DC, PLLC (Vitality Chiropractic & Wellness)
• Amy Jo Shingledecker, RN
• Rocklin Alan Shir, MD
• Abdirahman Mohamed Shire

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.