Individual provider Active NPI

Michael S Shuman, DMD

  • General Practice Dentistry
  • Blandon, PA
National Provider Identifier
1881659829
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018220L Issued in PA
Practice address
109 Anna Ave
Blandon, PA 19510-9311
Phone
(610) 926-1233
Fax
(610) 926-1533
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS018220L PA Primary

Addresses

Primary practice location

109 Anna Ave
Blandon, PA 19510-9311

Mailing address

109 Anna Ave
P.O. Box 260
Blandon, PA 19510-9311
Phone (610) 926-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20141210000322 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628390283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS018220LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman & Schwab, DMD PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1881659829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ANNA AVE",
            "address_2": "P.O. BOX 260",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109311",
            "telephone_number": "610-926-1233",
            "fax_number": "610-926-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANNA AVE",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109311",
            "telephone_number": "610-926-1233",
            "fax_number": "610-926-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018220L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.