Leland Walker Shenfield, DDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00008850 Issued in WA

Practice address

16030 Bothell Everett Hwy
Suite 250
Mill Creek, WA 98012-1741

Phone

(425) 338-9773

Fax

(425) 338-9743

NPI assigned

Aug 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558476770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 250",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-338-9773",
            "fax_number": "425-338-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY",
            "address_2": "SUITE 250",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121741",
            "telephone_number": "425-338-9773",
            "fax_number": "425-338-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENFIELD",
        "first_name": "LELAND",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00008850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney M Seymour, LMP
• Aaron Ryan Shackelford, LMP
• Krishna Shah, RPH
• Galib Sheikh, LICSW
• Erin E Shelby, MA
• Sherry Elwood RN Dba Riverhaven
• Mariah Shipley
• Stephen Joseph Shlafer, MD
• Brian Shull, MD
• Karen Sievers

• Pediatric Dentistry in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.