Active NPI
Shanna Leigh Spina, D.M.D.
- General Practice Dentistry
- Buffalo Grove, IL
National Provider Identifier
1861694762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019024940
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019-024940 | IL | MD | General Practice Dentistry |
| 019024940 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiffman Morris Dental Assoc. | General Practice | Past | 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.
-
- General Practice Dentistry
- Libertyville, IL
- NPI 1881604650
-
- General Practice Dentistry
- Buffalo Grove, IL
- NPI 1043354905
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.