Brian D. Shuman, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

016-981 Issued in VT

Practice address

1775 Williston Rd
Ste 250
South Burlington, VT 05403-6491

Phone

(802) 863-5447

NPI assigned

Jun 17, 2005

Last updated

Jan 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Associates in Periodontics, PLC

  • Periodontics
  • Burlington, VT
  • NPI 1689619074
  Authorized official Same address or phone
• Associates in Periodontics and Implant Dentistry

  • Periodontics
  • South Burlington, VT
  • NPI 1245198670
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1659376465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WESTVIEW DR",
            "city": "SO BURLINGTON",
            "state": "VT",
            "postal_code": "054037920",
            "telephone_number": "802-863-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WILLISTON RD",
            "address_2": "STE 250",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036491",
            "telephone_number": "802-863-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "BRIAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VT",
            "license": "016-981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002710",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Sheahan, M.S., R.D.
• Wendy April Shedd, PAC
• Shelley K Hoak Otr PLLC
• Rebecca Sherlock, LICSW
• Molly Shriver-Blake, LCSW
• Marlena Silva, LCMHC
• Sophia Marie Simkins, RN
• Sarahjeet Singh, M.D.
• Nathan Sinz, MD
• Micheal R Sirois, M.D.

• Periodontics in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Periodontics in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.