Active NPI
Shannon Hearn, DMD
- General Practice Dentistry
- Mobile, AL
National Provider Identifier
1730819673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7049
- Practice address
- 301 Saint Joseph St
Mobile, AL 36602-4037 - Phone
- (251) 433-7717
- Fax
- (251) 433-9384
- NPI assigned
- Jun 14, 2022
- Last updated
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7049 | AL | Primary |
Addresses
Primary practice location
301 Saint Joseph St
Mobile, AL 36602-4037
Mailing address
301 Saint Joseph St
Mobile, AL 36602-4037
Phone (251) 433-7717
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 |
|---|---|---|---|
| 7049 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1730819673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SAINT JOSEPH ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366024037",
"telephone_number": "251-433-7717",
"fax_number": "251-433-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT JOSEPH ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366024037",
"telephone_number": "251-433-7717",
"fax_number": "251-433-9384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "SHANNON",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "7049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
- Eric O'Neal Heard
- Gladys Tucker Heard, PHARM D
- Hearing Centers of the Panhandle, Inc.
- Hearing Things, in. (Listening & Language Center)
- Elizabeth C Hearn, AUD.,CCC-A
- Heart to Heart Home Care Services
- Erica Delatte Heath, LCSW, LICSW
- Heaven's Haven Living Facility
- Heavenly Cares Home Healthcare
- Heavens Haven Homecare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.