Shannon Candid Arkansas, P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SHANNON CANDID ARKANSAS, P.A.

Practice address

900 SE 5TH St Ste 22T
Bentonville, AR 72712-6090

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Shannon

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1821605908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE 5TH ST STE 22T",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE 5TH ST STE 22T",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126090",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON CANDID ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl David Shade
• Kathryn M Shaffer, LPC
• Shamsul Alam MD PA (The Kidney Clinic)
• Tiffany Lynn Shanahan, NP-C
• Shanna M. Molina MD PLLC
• John Lark Shasteen, LCSW
• Ayesha Shaukat, RPH
• Kerri Shaw, M.S., CCC-SLP
• Lisa Shaw
• Elizabeth Anne Shelby, M.S., CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.