Shauna Anderson Novak ,D.D.S.,P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

9776 Issued in MN

Legal business name

SHAUNA ANDERSON NOVAK ,D.D.S.,P.A.

Practice address

9800 Shelard Pkwy
Suite 130
Plymouth, MN 55441-6411

Phone

(763) 525-5011

Fax

(763) 525-8943

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shauna Anderson Novak, D.D.S.

Title

Dentist

Phone

(763) 525-5011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shauna Anderson, D.D.S.

  • General Practice Dentistry
  • Plymouth, MN
  • NPI 1033311717
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801090170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE 130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-525-5011",
            "fax_number": "763-525-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE 130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-525-5011",
            "fax_number": "763-525-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA ANDERSON NOVAK ,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-525-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Seubert, D.D.S.
• Gail Marie Severtson, RPH
• Shanahan Chiropractic LLC
• Reese Robert Shanahan, D.C
• Ralph Scott Shapiro, M.D.
• Amy Lynn Shaw-Valentin, MST
• Rakiya Mukhtar Sheikhali
• Shepherd Therapy PLLC
• Shepherd Wellness, LLC
• Jennifer Lynn Shepherd, MSW, L.I.C.S.W.

• Dentist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.