Individual provider Active NPI

Donald Charles Shingler

  • Dentist
  • Cleveland, OH
National Provider Identifier
1558557496
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19768 Issued in OH
Practice address
2249 Elm St
Suite 402
Cleveland, OH 44113-2320
Phone
(216) 338-6700
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19768 OH Primary

Addresses

Primary practice location

2249 Elm St
Suite 402
Cleveland, OH 44113-2320

Mailing address

2249 Elm St
Suite 402
Cleveland, OH 44113-2320
Phone (216) 338-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218001215 TX Order and Referring Only - DentistPractitioner - Dentist 2668806001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19768OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1558557496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 ELM ST",
            "address_2": "SUITE 402",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132320",
            "telephone_number": "216-338-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 ELM ST",
            "address_2": "SUITE 402",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132320",
            "telephone_number": "216-338-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGLER",
        "first_name": "DONALD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.