Shannon Allison, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7245 Issued in NC

Practice address

15 Aviemore Dr
Pinehurst, NC 28374-9797

Phone

(910) 295-4343

Fax

(910) 295-3913

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2020.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1528028735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LAKE DORNOCH DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747169",
            "telephone_number": "910-585-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-4343",
            "fax_number": "910-295-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannonallison@pinehurstdentist.com",
            "affiliation": "N",
            "endpointDescription": "secure website email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15 Aviemore Dr",
            "city": "Pinehurst",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283749797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert J Allen Jr., M.D.
• Samantha Allen
• Allergy Partners, PLLC
• Shannon Hester Alley, DNP,FNP-C
• Craig Edward Allison, DDS
• Shelley Kathryn Allison
• Fabian E Alzamora, M.D.
• Ambulatory Anesthesia of Pinehurst, PA
• Melody Amell, RN
• Edward Scott Anderson, D.O.

• All providers in Pinehurst, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.