Individual provider Active NPI

Shannon Bischoff, DMD

  • Dentist
  • Carefree, AZ
National Provider Identifier
1750959607
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011114 Issued in AZ
Practice address
7518 Elbow Bend Rd
Carefree, AZ 85377
Phone
(480) 488-9735
NPI assigned
Jun 16, 2021
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011114 AZ Primary
General Practice Dentistry 1223G0001X D011114 AZ
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7518 Elbow Bend Rd
Carefree, AZ 85377

Mailing address

7557 N Dreamy Draw Dr Unit 145
Phoenix, AZ 85020-4653
Phone (765) 698-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20211101002125 AZ Order and Referring Only - DentistPractitioner - Dentist 3971991548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D011114AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Modern Dentistry, LLP Dentist PastSince Jul 1, 2021 Accepting new patients
Dentists of Paradise Valley, LLP Dentist PastSince Jun 1, 2021 Accepting new patients
Carefree Family & Restorative Dentists General Practice PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1750959607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 N DREAMY DRAW DR UNIT 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204653",
            "telephone_number": "765-698-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 ELBOW BEND RD",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "85377",
            "telephone_number": "480-488-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHOFF",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011114",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011114",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carefree, AZ

Sources for this page

Verify at the official NPI Registry.