Mara Esther Shindell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4594 Issued in NM

Practice address

4421 Irving Blvd NW Ste B
Albuquerque, NM 87114-5919

Phone

(505) 821-6910

Fax

(505) 792-5771

NPI assigned

Jan 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Brimhall DDS LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1467895904
  NPD (past)
• Dentamax Dental Services LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1356722078
  NPD (past)

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720446164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 OVERLAND ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092671",
            "telephone_number": "240-676-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 IRVING BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145919",
            "telephone_number": "505-821-6910",
            "fax_number": "505-792-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDELL",
        "first_name": "MARA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "3594",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jennifer Shilvock, M.A. LMHC
• Christie Julie Shin
• Harold Dongjin Shin
• Peter C. Shin, M.D.
• Sang O Shin, MD
• Amal Shine, MD
• Phyllis Shingle, LCSW
• Mary Ann Shinnick, LISW
• Justin Lane Shipler
• Behjat Shirazi, LPCC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

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