Matt McShane DDS PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MATT MCSHANE DDS PLLC

Practice address

1419 E Centerton Blvd
Centerton, AR 72719-7050

Phone

(479) 224-2361

NPI assigned

Jan 19, 2022

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matt McShane, DDS

Title

Owner

Phone

(479) 747-1967

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: drmcshane@mcshaneoms.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew McShane, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fayetteville, AR
  • NPI 1518232727
  NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1700538907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 E CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197050",
            "telephone_number": "479-224-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT MCSHANE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "MCSHANE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-747-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmcshane@mcshaneoms.com",
            "affiliation": "N",
            "endpointDescription": "professional",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1419 E Centerton Blvd",
            "city": "Centerton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727197050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Kirk
• Kristi Lahusen, LPC
• Chulyndria Laye, LPC
• Thanh Le
• Kelsey Maloney-Steiner, MS, LPC-MHSP TEMP
• Anna Janelle McCraw, LAC
• Susan K McGaughey, LCSW
• Jayna J. Monical, FNP-BC
• Brittney Marie Moore, MS, CCC-SLP
• Jennifer Moore, LMT

• Oral & Maxillofacial Surgery (D.M.D.) in Centerton, AR
• Providers in Centerton, AR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.