Active NPI
Shane Marcus Paap, RDH, EPDH
- Dental Hygienist
- Bend, OR
National Provider Identifier
1700436847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7842
- Practice address
- 20516 Robal LN Ste 100
Bend, OR 97701-6703 - Phone
- (541) 797-6331
- NPI assigned
- Sep 19, 2019
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H7842 | OR | Primary |
Addresses
Primary practice location
20516 Robal LN Ste 100
Bend, OR 97701-6703
Mailing address
21078 Thomas Dr
Bend, OR 97702-2455
Phone (541) 408-4784
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
| License | State | Type | Specialty |
|---|---|---|---|
| H7842 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1700436847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21078 THOMAS DR",
"city": "BEND",
"state": "OR",
"postal_code": "977022455",
"telephone_number": "541-408-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20516 ROBAL LN STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977016703",
"telephone_number": "541-797-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAAP",
"first_name": "SHANE",
"middle_name": "MARCUS",
"credential": "RDH, EPDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.