Justin McLawhorn Shimer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13238 Issued in NC

Practice address

635 McCarthy Blvd
New Bern, NC 28562-5232

Phone

(252) 636-0011

NPI assigned

Jun 2, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kincaid Family Dentistry

  • Dentist
  • New Bern, NC
  • NPI 1861826109
  NPD (past)
• William I. Kincaid, III, DDS, PLLC

  • General Practice Dentistry
  • New Bern, NC
  • NPI 1477727238
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1902599038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625232",
            "telephone_number": "252-636-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625232",
            "telephone_number": "252-636-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMER",
        "first_name": "JUSTIN",
        "middle_name": "MCLAWHORN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teirra Session
• N Kimmey Seymore III, DDS
• Christina Sharp, PT
• Tonya Sheppard, AGNP-C
• Wright Davis Shields, MD
• Kayleigh Alice Shiminski
• Carissa Showers, RD
• Sumnima Shrestha, M.D
• Lee P Shreve, CRNA
• Imaan Siddiqi

• General Practice Dentistry in New Bern, NC
• Providers in New Bern, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.