Lawrence J Shine, PC DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012936 Issued in MO

Practice address

1734 E 63Rd St
Suite 520
Kansas City, MO 64110

Phone

(816) 523-7788

Fax

(816) 444-1175

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Clinton M Johnson DDS, Lawrence J. Shine Jr. DDS PC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1790851889
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811075179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-523-7788",
            "fax_number": "816-444-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-523-7788",
            "fax_number": "816-444-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PC DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Shif, M.D.
• Shu-Fen Shih, PH.D.
• Courtney Shillcutt, M.S., CCC-SLP
• Emily Shima, DO
• Craigin Elizabeth Shimmens, FNP
• Joseph Jacob Shinn, PHARMD
• Michael E Shinn, MD
• Michelle Ann Shipley, ARNP
• Paz Pinapit Shipley, RN
• Sheila Shipley, DNP, RN, CIC, EBP-C

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.