Shannon Murphy Thibodeau, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11973 Issued in OR

Practice address

29292 SW Town Center Loop E Ste a
Wilsonville, OR 97070-9491

Phone

(503) 682-0431

NPI assigned

Apr 24, 2023

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1609564103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29292 SW TOWN CENTER LOOP E STE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709491",
            "telephone_number": "503-682-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29292 SW TOWN CENTER LOOP E STE A",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709491",
            "telephone_number": "503-682-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "SHANNON",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Terry
• Jami Thanos
• The Vascular and Interventional Group, LLC
• Therapeutic Associates Inc (TAI - Wilsonville Physical Therapy)
• Theresa Crumpton Counseling Service, LLC
• Ashley Jean Thomas, DOULA
• Nicole Elizabeth Thomas, PHARM.D.
• Robert Lowell Thomas Jr., PT
• Launie Thompson
• Lindsay Thrasher-Polizzi, LMT

• Dentist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.