Individual provider Active NPI

Oneida Shushe, DDS

  • Dentist
  • Batavia, OH
National Provider Identifier
1619711686
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028147 Issued in OH
Practice address
497 W Main St
Batavia, OH 45103-1727
Phone
(513) 735-9111
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.028147 OH Primary

Addresses

Primary practice location

497 W Main St
Batavia, OH 45103-1727

Mailing address

1063 Watervliet Shaker Rd
Albany, NY 12205-2005

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
30.028147OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Solutions Management Company LLC PastSince Aug 25, 2025 Accepting new patients
Stephen J. Doelker DDS LLC Dentist PastSince Aug 25, 2025 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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1619711686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 WATERVLIET SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W MAIN ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031727",
            "telephone_number": "513-735-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSHE",
        "first_name": "ONEIDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.