Shyheme McElroy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.033272 Issued in IL

Practice address

126 N 30TH St Ste 102
Quincy, IL 62301-3719

Phone

(217) 228-3384

NPI assigned

Jul 2, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Buffalo Prairie Dental Surgery and Sedation Center PLLC

  • General Practice Dentistry
  • Quincy, IL
  • NPI 1386201226
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1528639309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15148 ORLAN BROOK DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623906",
            "telephone_number": "708-208-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N 30TH ST STE 102",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013719",
            "telephone_number": "217-228-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "SHYHEME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily McDonnell, PT
• McDoug Inc (Eye Tech Opticians)
• John H McDougall, O.D.
• Christina McDowell, RN, IBCLC
• John Stanley McDowell, MSW, MHP
• Andrew T McEntee, DMD
• Izabelle McGee, AA, CADC
• McIntee Ear, Nose & Throat, SC
• Rae A McIntee, D.D.S., M.D.
• Sarah McIntyre, PA-C

• Dentist in Quincy, IL
• Providers in Quincy, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.