Shawn Kinney Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAWN KINNEY DENTISTRY, PLLC

Doing business as

Sedona Smiles

Practice address

120 Northview Rd Ste 2
Sedona, AZ 86336-5581

Phone

(928) 282-5964

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawn Kinney, DMDNPI 1720430473

Title

Member/Owner

Phone

(260) 479-5853

Specialties & licenses 1

Addresses

Other names 1

• Sedona Smiles Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Kinney, DMD

  • General Practice Dentistry
  • Camp Verde, AZ
  • NPI 1720430473

  Dental

  NPD Authorized official
• Edward M Byers, DDS

  • General Practice Dentistry
  • Sedona, AZ
  • NPI 1306995055
  NPD (past)
• Kimberly M. Wachter, DDS

  • Dentist
  • Sedona, AZ
  • NPI 1295953628
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1528753167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863221689",
            "telephone_number": "260-479-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NORTHVIEW RD STE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365581",
            "telephone_number": "928-282-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN KINNEY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "260-479-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedona Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol M Servin, AUD
• Donna M Sgariglia, D.C.
• Jacob L Shapiro, L.M.T.
• Margaret Mary Shapleigh, LMT
• Sherri Sharkins
• Don Peter Sheer, O.D.
• Brett F Shenkman, NMD, ND
• Rebecca Sherman
• Jeffrey Erik Shipper, LMT, CPT, RYT
• Janet Shreve, COTA/L

• Dental Clinic/Center in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.