Nicole Marie Shanklin, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

64094 Issued in CA

Practice address

1350 E Main St
Grass Valley, CA 95945-5208

Phone

(530) 477-9560

Fax

(530) 889-8169

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1740684828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 COBBLESTONE DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654154",
            "telephone_number": "408-209-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455208",
            "telephone_number": "530-477-9560",
            "fax_number": "530-889-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Settlemier
• Melika Shafiee
• Shalvi Shaili
• Alice E Shallcross, DO
• Charles Shang, MD
• Susan E Shapiro, M.D.
• Desiree L Sharp
• Carol Yvonne Sharps, PHARM TECH
• Maureen Clare Shea-Burgess, CMT
• Karen Sheets, PHARMD

• Dentist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.