John Allan Shuffield, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3137 Issued in AR

Practice address

1512 Macon Dr
Suite #2
Little Rock, AR 72211-1849

Phone

(501) 217-0567

Fax

(501) 217-0569

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

Yes

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 AR

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

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891716031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 MACON DR",
            "address_2": "SUITE #2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111849",
            "telephone_number": "501-217-0567",
            "fax_number": "501-217-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 MACON DR",
            "address_2": "SUITE #2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111849",
            "telephone_number": "501-217-0567",
            "fax_number": "501-217-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFFIELD",
        "first_name": "JOHN",
        "middle_name": "ALLAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Demarest Shrader, LPC
• Asis Shrestha, MD
• Trilok Shrivastava, MD
• Persis Shroff, MD
• James E Shuffield, MD
• Pattie Shuffield
• Ankita Shukla, MD
• Tripti Shukla
• Bassam N. Shukrallah, MD
• Jennifer Diane Shuler, APRN

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.