Individual provider Active NPI

Shanna Leigh Spina, D.M.D.

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1861694762
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024940 Issued in IL
Practice address
Morris Dental Solutions
195 N. Arlington Heights Rd. Suite 160
Buffalo Grove, IL 60089
Phone
(847) 215-1511
Fax
(847) 243-0509
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-024940 IL
General Practice Dentistry 1223G0001X 019024940 IL Primary

Addresses

Primary practice location

Morris Dental Solutions
195 N. Arlington Heights Rd. Suite 160
Buffalo Grove, IL 60089

Mailing address

195 N. Arlington Heights Rd
Suite 160
Buffalo Grove, IL 60089
Phone (847) 215-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 17, 2016 through May 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019-024940ILMDGeneral Practice Dentistry
019024940ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shiffman Morris Dental Assoc. General Practice PastSince Sep 4, 2022 Accepting new patients
Dennis E. Manning D.D.S.,LTD. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1861694762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N. ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-215-1511",
            "fax_number": "847-243-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MORRIS DENTAL SOLUTIONS",
            "address_2": "195 N. ARLINGTON HEIGHTS RD. SUITE 160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-215-1511",
            "fax_number": "847-243-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "SHANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-024940",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.