Lindsey Shall, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LINDSEY SHALL, PLLC

Doing business as

Ponderosa Family Dental

Practice address

14991 E Hampden Ave Ste 370
Aurora, CO 80014-3996

Phone

(303) 693-1215

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Lindsey Shall, DMDNPI 1386202273

Title

Dentist

Phone

(757) 502-3659

Specialties & licenses 1

Addresses

Other names 1

• Ponderosa Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Shall

  • Dentist
  • Effingham, IL
  • NPI 1386202273
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1881371813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE STE 370",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143996",
            "telephone_number": "303-693-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY SHALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "SHALL",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-502-3659",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponderosa Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Lindsay
• Mark Lindsay, N.P.
• Rachael Lindsay, COTA
• Shannon Lindsay
• Erik Lindseth, MD
• Kara Danielle Lindsey-Pankiw, RN
• Ayonna Lindsey
• Melissa Christie Lindsey, NP
• Michael A Lindsey, MA
• Morgan Elizabeth Lindstrom, RN

• Dental Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.