Shoreline Endodontics, P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SHORELINE ENDODONTICS, P.C.

Practice address

1087 Business Park Dr
Traverse City, MI 49686-8372

Phone

(231) 947-6000

Fax

(231) 947-6593

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Christopher M Allen, DDS, MSNPI 1215190970

Title

Practice Owner

Phone

(231) 947-6000

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Practitioners 1

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

• Christopher Michael Allen, D.D.S., M.S.

  • Endodontics
  • Traverse City, MI
  • NPI 1215190970
  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1811583164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 BUSINESS PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868372",
            "telephone_number": "231-947-6000",
            "fax_number": "231-947-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 BUSINESS PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868372",
            "telephone_number": "231-947-6000",
            "fax_number": "231-947-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9116 E 13th St Unit C",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018126",
            "country_code": "US",
            "telephone_number": "231-468-3200",
            "fax_number": "231-947-6593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "231-947-6000",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 DR. BARRORD",
            "identifier": "1972094639",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 DR. ALLEN",
            "identifier": "1215190970",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 DR. HAAG",
            "identifier": "1386743219",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.shoreline-endodontics.com",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "address_1": "1087 Business Park Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496868372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sholten Enterprises Inc.
• Courtlyn N Sholten
• Laura Kay Shomody
• Thomas Joseph Shoniker, DMD
• Kristen Jankowski Shook, CPM, LM
• Andrew William Short, M.D.
• Zachary Clay Short, DO
• Jessica Leigh Showalter, LLMSW
• Alexis Brooke Showers, PTA
• Katheryn Marie Shrift-Ackerman, SLP

• Endodontics in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Endodontics in Michigan

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