Shine Family Dentistry,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13844 Issued in MD

Legal business name

SHINE FAMILY DENTISTRY,LLC

Practice address

10316B Baltimore National Pike
Ellicott City, MD 21042-2128

Phone

(410) 313-9676

NPI assigned

Mar 5, 2014

Last updated

Mar 5, 2014By 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. Shiney Cherian, DDS

Title

Owner

Phone

(410) 313-9676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1730505413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316B BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316B BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422128",
            "telephone_number": "410-313-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "SHINEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-313-9676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sherry, MS
• Soumil Sheth, PHARMD
• Qinghong Shi
• Chul Ho Shin, PHARMACIST
• Young-Rok Shin, M.D.
• Shines LLC (Ace Dental Clinic)
• Jan Shipley
• Yevgeny Shirokobrod, DPT
• Sharon Shivers
• Deven V Shroff, D.M.D., F.A.G.D.

• Dental Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.