Michael G Shane DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

926 Issued in WY

Legal business name

MICHAEL G SHANE DDS PC

Practice address

350 Garfield St
Lander, WY 82520-3124

Phone

(307) 332-3181

Fax

(307) 332-3484

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Michael George Shane, DDSNPI 1558561621

Title

President

Phone

(307) 332-3181

Specialties & licenses 1

Addresses

Other names 1

• Michael G Shane DDS Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Shane, DDS

  • Dentist
  • Lander, WY
  • NPI 1558561621
  NPD (past) Authorized official
• Colton James Crane, DMD

  • Dentist
  • Riverton, WY
  • NPI 1780898288
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1891871471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GARFIELD",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203124",
            "telephone_number": "307-332-3181",
            "fax_number": "307-332-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GARFIELD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203124",
            "telephone_number": "307-332-3181",
            "fax_number": "307-332-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G SHANE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-332-3181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael G Shane DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• McRae Inc
• Clinton Franklin Merrill Jr., M.D.
• Walter D Merritt III, M.D.
• Jacqueline A Meyer, FNP
• Mel R Meyer, MD
• Michael Pryor, M.D., P.C.
• Claude Barrett Minor, M.D.
• Pamela Mondorf, MD
• Rachel Moosman
• Grace Morris, CPNP-PC

• General Practice Dentistry in Lander, WY
• Providers in Lander, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.