Individual provider Active NPI

Michelle A Shuler, D.M.D.

  • General Practice Dentistry
  • Jonesboro, GA
National Provider Identifier
1538196894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011826 Issued in GA
Practice address
10367 Tara Blvd
Allsmiles Dentistry, P.C.
Jonesboro, GA 30236-6536
Phone
(770) 472-7070
Fax
(770) 472-0007
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011826 GA Primary

Addresses

Primary practice location

10367 Tara Blvd
Allsmiles Dentistry, P.C.
Jonesboro, GA 30236-6536

Mailing address

10367 Tara Blvd
Allsmiles Dentistry, P.C.
Jonesboro, GA 30236-6536
Phone (770) 472-7070

Other identifiers 1

IdentifierTypeStateIssuer
00929299BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011826GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538196894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10367 TARA BLVD",
            "address_2": "ALLSMILES DENTISTRY, P.C.",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366536",
            "telephone_number": "770-472-7070",
            "fax_number": "770-472-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10367 TARA BLVD",
            "address_2": "ALLSMILES DENTISTRY, P.C.",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366536",
            "telephone_number": "770-472-7070",
            "fax_number": "770-472-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929299B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.