Active NPI
Shaun Stinson
- Dentist
- Lincoln, NE
National Provider Identifier
1669826293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7367
- Practice address
- 6835 S. 27TH St., Ste 2
Lincoln, NE 68512 - Phone
- (402) 475-0070
- NPI assigned
- Apr 20, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7367 | NE | Primary |
Addresses
Primary practice location
6835 S. 27TH St., Ste 2
Lincoln, NE 68512
Mailing address
6835 S. 27TH St., Ste 2
Lincoln, NE 68512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160527001119 | LA | Order and Referring Only - Oral Surgery | 2466742796 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7367 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1669826293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6835 S. 27TH ST., STE 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6835 S. 27TH ST., STE 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68512",
"telephone_number": "402-475-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINSON",
"first_name": "SHAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.