Shawn A Dornhecker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30021008 Issued in OH

Practice address

3500 Siaron Way
Fairfield TWP, OH 45011

Phone

(513) 815-3166

Fax

(513) 829-5499

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Practice roles

Locations

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.

• Shawn a Dornhecker DDS & Jesal a Patel DDS Inc

  • General Practice Dentistry
  • Fairfield TWP, OH
  • NPI 1033200860
  NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1851482640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SIARON WAY",
            "city": "FAIRFIELD TWP",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-815-3166",
            "fax_number": "513-829-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SIARON WAY",
            "city": "FAIRFIELD TWP",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-815-3166",
            "fax_number": "513-829-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNHECKER",
        "first_name": "SHAWN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adino Homehealth and Medical Supplies LLC
• Alternative Care Solutions Inc
• Ebony Crittenden
• Jill Elizabeth Delgado
• Lisa Marie Guthier-Satterfield
• Stephanie Harper
• Help Health Care LLC
• Alexander Hershey, MD
• Nancy Odoi Lartey

• General Practice Dentistry in Fairfield TWP, OH
• Providers in Fairfield TWP, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.