Active NPI
Gregory S Shanbour, D.D.S., M.S.
- Periodontics
- Oklahoma City, OK
National Provider Identifier
1811999618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4585
- Practice address
- 8117 S Walker Ave
Oklahoma City, OK 73139-9476 - Phone
- (405) 634-2239
- Fax
- (405) 634-3598
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4585 | OK | Primary |
Addresses
Primary practice location
8117 S Walker Ave
Oklahoma City, OK 73139-9476
Mailing address
8117 S Walker Ave
Oklahoma City, OK 73139-9476
Phone (405) 634-2239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4585 | Other | OK | STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4585 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory S. Shanbour, D.D.S., M.S. | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Oklahoma City, OK
- NPI 1003080037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811999618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8117 S WALKER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399476",
"telephone_number": "405-634-2239",
"fax_number": "405-634-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8117 S WALKER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399476",
"telephone_number": "405-634-2239",
"fax_number": "405-634-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANBOUR",
"first_name": "GREGORY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OK",
"license": "4585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "4585",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Laura B Shamblin, MD
- Ibrahim Musa Shamma, PT
- Saad Shams, MD
- William Randal Shanahan
- Caroline Shanbour, M.S. CCC-SLP
- Kamal Anthony Shanbour, M.D.
- Shandy D Sells DC PC (Sells Chiropractic Clinic)
- Jenelle Rose Shanley, M.A.
- Shannon G. Davis, Aprn-CNP Family, P.L.L.C (The Yale Clinic)
- Daisha Renea Shannon, BT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.