Bradford C Shinaman DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRADFORD C SHINAMAN DDS PA

Practice address

406 8TH St
North Wilkesboro, NC 28659-4130

Phone

(336) 667-6081

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bradford C Shinaman, DDS PANPI 1578612701

Title

Owner

Phone

(336) 667-6081

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford C Shinaman, D.D.S.,PA

  • General Practice Dentistry
  • North Wilkesboro, NC
  • NPI 1578612701
  NPD (past) Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1790952489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286590606",
            "telephone_number": "336-667-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 8TH ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594130",
            "telephone_number": "336-667-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD C SHINAMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SHINAMAN",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-667-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle W. Bolick, RN
• Boone Trail Optometric Eye Care, PLLC
• Mira Boone, MD
• Tracy Bottomley, PHARMD.
• Karolen C Bowman, M.D.
• Phillip Marvin Brame Sr., DDS MS BOARD CERTIFI
• Kristy McLeod Bray, APRN
• Shena Brewster
• Katherine Brosell, COTR
• Michael Hugh Browder, DDS

• Dental Clinic/Center in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.