Shannon Williams Ankenbrandt, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2002015114 Issued in MO

Practice address

1041 Wolfrum Rd
Weldon Spring, MO 63304-7625

Phone

(636) 300-4545

Fax

(636) 329-0244

NPI assigned

Sep 21, 2008

Last updated

Sep 21, 2008By the provider in NPPES

Sex

Female

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 MO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shannon Ankenbrandt,DDS,LLC

  • General Practice Dentistry
  • Weldon Spring, MO
  • NPI 1184069007
  NPD (past) Authorized official

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221955200000",
    "number": "1891945333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-4545",
            "fax_number": "636-329-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047625",
            "telephone_number": "636-300-4545",
            "fax_number": "636-329-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKENBRANDT",
        "first_name": "SHANNON",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002015114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2008; 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.