Active NPI
Shannon McCharen
- Dental Hygienist
- Meridian, MS
National Provider Identifier
1881210896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4518-18DH
- Practice address
- 6671 King Rd
Meridian, MS 39305-8369 - Phone
- (281) 770-9679
- NPI assigned
- Jun 25, 2020
- Last updated
- Jun 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4518-18DH | MS | Primary |
Addresses
Primary practice location
6671 King Rd
Meridian, MS 39305-8369
Mailing address
6671 King Rd
Meridian, MS 39305-8369
Phone (281) 770-9679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4518-18DH | Other | MS | DENTAL HYGIENIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4518-18DH | MS | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1881210896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6671 KING RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393058369",
"telephone_number": "281-770-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6671 KING RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393058369",
"telephone_number": "281-770-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCHAREN",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MS",
"license": "4518-18DH",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENIST",
"identifier": "4518-18DH",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.