Timothy M. Shanahan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-019174 Issued in IL

Practice address

3941 75TH St
Suite 103
Aurora, IL 60504-7924

Phone

(630) 375-8380

Fax

(630) 375-8378

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• J.H. Cheung, D.D.S., P.C.

  • Dentist
  • Aurora, IL
  • NPI 1407051766
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1528201902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 75TH ST",
            "address_2": "SUITE 103",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047924",
            "telephone_number": "630-375-8380",
            "fax_number": "630-375-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 75TH ST",
            "address_2": "SUITE 103",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047924",
            "telephone_number": "630-375-8380",
            "fax_number": "630-375-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mujtaba M Shakeel
• Maheen B. Shakoor, D.O.
• Isa Shams
• Zoya Shams, DDS
• Jordan Shanahan, FNP-C
• Donnetta Dawn Shanklin
• Chetan Sharma, MD
• Gaurav Kumar Sharma, M.D.
• Navneesh Sharma, M.D
• Rahul Sharma, M.D.

• General Practice Dentistry in Aurora, IL
• Providers in Aurora, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.