Jessica Davida Shamberger, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11374 Issued in NC

Practice address

991 W Hudson Blvd
Gastonia, NC 28052-6430

Phone

(704) 772-4659

Fax

(704) 671-1404

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By 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

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gaston Family Health Services, Inc

  dba Kintegra Family Dentistry - Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, NC
  • NPI 1053951756
  NPD (past)
• Gaston Family Health Services, Inc

  dba Kintegra Family Medicine - Xray Dr

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1790344679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-772-4659",
            "fax_number": "704-671-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-772-4659",
            "fax_number": "704-671-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 11th Avenue Dr SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028336",
            "country_code": "US",
            "telephone_number": "828-695-5778",
            "fax_number": "704-671-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Summit Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542192",
            "country_code": "US",
            "telephone_number": "704-874-0377",
            "fax_number": "704-671-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Gamble Dr",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924439",
            "country_code": "US",
            "telephone_number": "704-853-5191",
            "fax_number": "704-671-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924407",
            "country_code": "US",
            "telephone_number": "704-735-2230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774108",
            "country_code": "US",
            "telephone_number": "704-838-1108",
            "fax_number": "704-671-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Kirkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924024",
            "country_code": "US",
            "telephone_number": "336-243-3201",
            "fax_number": "704-671-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMBERGER",
        "first_name": "JESSICA",
        "middle_name": "DAVIDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmolina@gfhs.info",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "991 W Hudson Blvd",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280526430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Silvia Sevillano
• Kaelyn Nicole Sexton, CNM
• Mouhamadou Seydi, DDS
• Samantha Kaye Shabla, PHARMD
• Lindsey Shahmoradi, PHARMD
• David Paul Raj Shanmugam
• Hannah Strickland Shannon, PHARMD
• William Bartholomew Shannon, MD
• Shaped Health and Wellness
• Share Health & Human Services LLC (Share Health)

• General Practice Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.