Shock Kokomo, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHOCK KOKOMO, LLC

Doing business as

Compassionate Dentistry

Practice address

310 E Alto Rd
Kokomo, IN 46902-3674

Phone

(765) 864-2328

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By 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

Liz Shock

Title

Practice Administrator

Phone

(317) 450-5797

Specialties & licenses 1

Addresses

Other names 1

• Compassionate Dentistry Doing business as

Locations

Practitioners 1

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.

• Kyle Davis

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1104442144
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1528780418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15437 STAFFORDSHIRE WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374644",
            "telephone_number": "317-450-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023674",
            "telephone_number": "765-864-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOCK KOKOMO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-450-5797"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Leann Sherwood
• Samantha Amelia Shideler
• Ala Shiyab, M.D.
• Shmily Productions LLC (You're In CONTROL)
• Ashlee Shoaff, LMHC
• Jennifer D. Shook, NP
• Shoreline Anesthesia, LLC
• Katie Lee Short, D.C.
• Kinley Short
• Kristi Short

• Dental Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.