Angela Shirey, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401414921 Issued in VA

Practice address

5621 Tidewater Dr
Norfolk, VA 23509-1442

Phone

(757) 622-3776

Fax

(757) 622-0146

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Rentschler Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1730562000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091442",
            "telephone_number": "757-622-3776",
            "fax_number": "757-622-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091442",
            "telephone_number": "757-622-3776",
            "fax_number": "757-622-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREY",
        "first_name": "ANGELA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RENTSCHLER",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chie-Youn Shih, M.D.
• Stephen Shimp
• Daniel Hean Shin
• Gary Shine, RN
• Katherine N Shipley, PA
• Kelsey Shirk
• Walker Shivar, DDS
• Amanda Katheryn Shockey, RN, ATC
• Melanie Shoemaker, MD
• Kyrie L Shomaker, MD

• Dentist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.