Christopher Dean Shakespear, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9423 Issued in OR

Practice address

110 S 59TH St
Springfield, OR 97478-6975

Phone

(541) 747-8030

NPI assigned

Oct 20, 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 OR

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

State licenses

Practice roles

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.

• McKenzie Dental Center

  • General Practice Dentistry
  • Springfield, OR
  • NPI 1588225155
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1871676312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 59TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974786975",
            "telephone_number": "541-747-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 59TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974786975",
            "telephone_number": "541-747-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEAR",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Catherine Sevilla, PT
• Kristin Seybold
• Angela M Seyler, PHARM D
• Bayley Brooke Seymour, PA-C
• Joyce Elsie Shain, MA, OTR/L
• Deborah Shaneyfelt, PT
• Nicholas Shattuck, PHARMD
• Emma Christina Shaver, M.S.
• Hannah Shaw
• Katrina Shaw, LMT

• Dentist in Springfield, OR
• Providers in Springfield, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.