James Shearer
Individual provider Active NPI Dentist · Whitehall, PA
NPI 1821495748 · NPPES record last updated Nov 20, 2014
Key facts
- NPI
- 1821495748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026482L (PA)
- Practice address
- 636 5TH St
Whitehall, PA 18052-5836 - Phone
- (610) 264-1701
- NPI assigned
- Nov 20, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS026482L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James K Shearer DMD PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026482L | PA | Yes |
Addresses
Primary practice location
636 5TH St
Whitehall, PA 18052-5836
Mailing address
636 5TH St
Whitehall, PA 18052-5836
Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.