Robert Steven Shandrick, DMD FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022269L Issued in PA

Practice address

536 State Route 93
Sugarloaf, PA 18249

Phone

(570) 788-1870

Fax

(570) 788-2446

NPI assigned

Dec 7, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: robertshandrickdmd@rhc.medentdirect.com

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1811170384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 STATE ROUTE 93",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "18249",
            "telephone_number": "570-788-1870",
            "fax_number": "570-788-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 STATE ROUTE 93",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "18249",
            "telephone_number": "570-788-1870",
            "fax_number": "570-788-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDRICK",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "credential": "DMD FAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022269L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Schiavone
• Stephen Michael Schleicher, M.D.
• Gillian Schlichter
• Jordan Selemba
• Cortney Semiclose
• Rachael Shaner
• Karie Shoenberger
• Sici Mohs Center PC
• Nathanial Joseph William Sirois-Parfitt
• Jill Slovick

• General Practice Dentistry in Sugarloaf, PA
• Providers in Sugarloaf, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.