John C Shillingburg, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19916 Issued in TX

Practice address

3700 Forums Dr
#203
Flower Mound, TX 75028-1860

Phone

(972) 539-1491

Fax

(972) 539-3489

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Associated Oral Surgeons, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Flower Mound, TX
  • NPI 1275777872
  NPD (past)
• DFW Oral Surgeons PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Flower Mound, TX
  • NPI 1619284270
  NPD (past)
• Ronald Tankersley DDS Numa Ray Lee DDS Jeffrey N Kenney DDS W Les

  • Oral and Maxillofacial Surgery (Dentist)
  • Newport News, VA
  • NPI 1295930097
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1750492963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FORUMS DR",
            "address_2": "#203",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281860",
            "telephone_number": "972-539-1491",
            "fax_number": "972-539-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FORUMS DR",
            "address_2": "#203",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281860",
            "telephone_number": "972-539-1491",
            "fax_number": "972-539-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLINGBURG",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411293",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Renee Shaper
• Shawn Blad, D.C. P.a. (New Leaf Chiropractic)
• Ethan Paul Shepard, DC
• Sherry Barnett MD PLLC (Flower Mound Allergy Asthma Center)
• Kerri Sherwood
• Yong Shin
• Shivrudra PLLC
• Carey Shore, RD-LD
• Patrick William Shovlin III, MD
• Amber Showalter, M.S., LPC-INTERN, NC

• Oral and Maxillofacial Surgery (Dentist) in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.