Active NPI
Luke David Shaner, DMD
- General Practice Dentistry
- Milford, NH
National Provider Identifier
1568148104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04845 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henniker Family Dentistry | General Practice | Past | Accepting new patients |
| Family Dental Care of Milford, Prof. Assn. | General Practice | Past | 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.
-
- General Practice Dentistry
- Milford, NH
- NPI 1356411839
-
- General Practice Dentistry
- Henniker, NH
- NPI 1215488432
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.