Shauna L. Palmer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5453C Issued in AL

Practice address

740 Hillcrest Rd Ste 2B
Mobile, AL 36695-4021

Phone

(251) 639-0911

Fax

(251) 633-7889

NPI assigned

Jan 10, 2007

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 identifiers 2

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.

• Dr. Samuel L. Johnson, DDS, P.C.

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1992853337
  NPD (past)
• Heritage Dental Group USA.LLC

  • Dentist
  • Mobile, AL
  • NPI 1801252473
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750430591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HILLCREST RD STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954021",
            "telephone_number": "251-639-0911",
            "fax_number": "251-633-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HILLCREST RD STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954021",
            "telephone_number": "251-639-0911",
            "fax_number": "251-633-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHAUNA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5453C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "31131",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA DENTAL LICENSE",
            "identifier": "5453C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Gardens Health and Rehabilitation, LLC
• Elizabeth Gayle Palmer Hill, DMD
• Deborah A Palmer, RN
• Lauren Elizabeth Palmer
• Lauren Parker Palmer, PA
• Thomas Justin Palmer, RN CRNP
• Jennifer L Palomo, LPC
• Edward A Panacek, MD
• Hercules Panayiotou, M.D.
• Babu Soumya Panickessery, MD

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.