Dorothy Susan Shofner, CERTIFIED MASSAGE TH

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

47130 Issued in CA

Practice address

1607 E Lincoln Ave Ste a
Orange, CA 92865-1958

Phone

(714) 921-9777

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Dorothy Susan Leseth Former name

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1659865616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E LINCOLN AVE APT 502",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E LINCOLN AVE STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651958",
            "telephone_number": "714-921-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFNER",
        "first_name": "DOROTHY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED MASSAGE TH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "47130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "LESETH",
            "middle_name": "SUSAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Michelle Shively, N.P.
• Mayada Shmara, DDS
• Gary Shmorgon
• Kyna Z Shnayderman, M.D.
• Inna Shniter, M.D.
• Shokeen Dermatology
• Shalizeh Shokooh, M.D.
• Amir Shokrae, M.D.
• Cynthia H Sholly, MD
• Aidan Shon

• Massage Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.