Carrie A Shane, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008040 Issued in WA

Practice address

220 Unity St
Bellingham, WA 98225-4429

Phone

(360) 676-6177

Fax

(360) 527-8778

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1851318687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5956",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982275956",
            "telephone_number": "360-676-6177",
            "fax_number": "360-527-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254429",
            "telephone_number": "360-676-6177",
            "fax_number": "360-527-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028048",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Sexton
• Samina Shabnam, M.B.B.S.
• Jami K Shaffer, PHARM.D.
• Komal Shah, MD
• Magdalena Shammel
• Michael W Shannon II
• Norah Nicole Shannon, DH00006955
• Ryan Shannon, CERTIFIED COUNSELOR
• Shanti Center LLC
• Miriam R. Shapiro, MD

• Dentist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.