Active NPI
Christine Shi
- General Practice Dentistry
- Franklin, OH
National Provider Identifier
1912589474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.026596
- Practice address
- 1051 Commerce Center Dr
Franklin, OH 45005-7209 - Phone
- (937) 746-3901
- NPI assigned
- Apr 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.026596 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1051 Commerce Center Dr
Franklin, OH 45005-7209
Mailing address
1051 Commerce Center Dr
Franklin, OH 45005-7209
Other practice location 1
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Phone (262) 501-7416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026596 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fullenkamp Family Dentistry | Current | Accepting new patients |
Locations
1051 Commerce Center Dr
Franklin, OH 45005
Phone (937) 746-3901
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.
-
- General Practice Physician
- Franklin, OH
- NPI 1518630359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1912589474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 COMMERCE CENTER DR",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450057209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 COMMERCE CENTER DR",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450057209",
"telephone_number": "937-746-3901"
}
],
"practiceLocations": [
{
"address_1": "1801 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532332186",
"country_code": "US",
"telephone_number": "262-501-7416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHI",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-24",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.026596",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.