Individual provider Active NPI

Luke David Shaner, DMD

  • General Practice Dentistry
  • Milford, NH
National Provider Identifier
1568148104
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04845 Issued in NH
Practice address
154 Elm St
Milford, NH 03055-4759
Phone
(603) 673-3332
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 04845 NH Primary

Addresses

Primary practice location

154 Elm St
Milford, NH 03055-4759

Mailing address

1 Boston Way Unit 106
Newburyport, MA 01950-4181
Phone (360) 480-3224

Other practice location 1

144 Hall Ave
Henniker, NH 03242-3311
Phone (603) 428-3419

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
04845NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Henniker Family Dentistry General Practice Past Accepting new patients
Family Dental Care of Milford, Prof. Assn. General Practice PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1568148104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON WAY UNIT 106",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504181",
            "telephone_number": "360-480-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 ELM ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554759",
            "telephone_number": "603-673-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Hall Ave",
            "address_purpose": "LOCATION",
            "city": "Henniker",
            "state": "NH",
            "postal_code": "032423311",
            "country_code": "US",
            "telephone_number": "603-428-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANER",
        "first_name": "LUKE",
        "middle_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.