Organization Active NPI

Shamayne M. Frank, DDS, PC

  • General Practice Dentistry
  • Sioux City, IA
National Provider Identifier
1801054259
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08224 Issued in IA
Legal business name
SHAMAYNE M. FRANK, DDS, PC
Practice address
321 W. 25TH St.
Sioux City, IA 51104-4029
Phone
(712) 252-9894
Fax
(712) 252-9065
NPI assigned
May 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Shamayne Maria Frank, DDSNPI 1962417733
Title
Owner
Phone
(712) 252-9894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 08224 IA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6431 NE
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X M999 SD
Dental Clinic/Center 261QD0000X 08224 IA
Dental Clinic/Center 261QD0000X 6431 NE
Dental Clinic/Center 261QD0000X M999 SD

Addresses

Primary practice location

321 W. 25TH St.
Sioux City, IA 51104-4029

Mailing address

321 W. 25TH St.
Sioux City, IA 51104-4029
Phone (712) 252-9894

Other identifiers 5

IdentifierTypeStateIssuer
1962417733MedicaidIA
7809990MedicaidSD
10025533200MedicaidNE
1002-5004500MedicaidNE
0566224MedicaidIA

Other names 1

  • Shamayne M. Frank, DDS, PC Other name

National Provider Directory

National Provider Directory

Locations

321 W 25th St
Sioux City, IA 51104
Phone (712) 252-9894

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1801054259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W. 25TH ST.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044029",
            "telephone_number": "712-252-9894",
            "fax_number": "712-252-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W. 25TH ST.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044029",
            "telephone_number": "712-252-9894",
            "fax_number": "712-252-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMAYNE M. FRANK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "SHAMAYNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-252-9894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08224",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6431",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M999",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "08224",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6431",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "M999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962417733",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809990",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025533200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002-5004500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566224",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamayne M. Frank, DDS, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.