Organization Active NPI

Shine Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Thornton, CO
National Provider Identifier
1689148025
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SHINE ORTHODONTICS, PLLC
Practice address
11975 Holly St Ste B
Thornton, CO 80233-1802
Phone
(316) 706-9318
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Brandon Elliott Scheer, DDS, MSD
Title
Owner/Orthodontist
Phone
(316) 706-9318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

11975 Holly St Ste B
Thornton, CO 80233-1802

Mailing address

3127 W 18TH Ave
Denver, CO 80204-1705
Phone (316) 706-9318

National Provider Directory

National Provider Directory
Tax ID family
Shine Orthodontics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11975 Holly St
Ste B
Thornton, CO 80233
Phone (316) 706-9318

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1689148025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 W 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041705",
            "telephone_number": "316-706-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 HOLLY ST STE B",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331802",
            "telephone_number": "316-706-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "SCHEER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "316-706-9318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.