Brian Spencer Shumway, D.D.S.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

8548 Issued in KY

Practice address

School of Dentistry 501 South Preston Street
Faculty Practice, Suite 334
Louisville, KY 40292-0001

Phone

(502) 852-5401

Fax

(502) 852-7602

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

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

Enrolled in KY

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

Specialty

Oral Surgery

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of LouisvilleGroup PAC ID 2264480615, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• University of Louisville

  dba University of Louisville School of Dentistry

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1861413098
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1922299387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCHOOL OF DENTISTRY 501 PRESTON STREET",
            "address_2": "SURGICAL AND HOSPITAL DENTISTRY RM 337",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402920001",
            "telephone_number": "502-852-5083",
            "fax_number": "502-852-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCHOOL OF DENTISTRY 501 SOUTH PRESTON STREET",
            "address_2": "FACULTY PRACTICE, SUITE 334",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402920001",
            "telephone_number": "502-852-5401",
            "fax_number": "502-852-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "BRIAN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "KY",
            "license": "8548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Shull
• Anthony Justin Shults, LCSW
• Shannon C Shumaker, RN, MSN, ARNP-BC
• Marci L Shuman, MS CCC A
• Susan Elizabeth Shumate, APRN
• Joshua Shumway, DMD
• Loretta Benita Shunk, APRN
• Cheryl Denise Shunnarah, APRN, FNP-C
• Christina Shunnarah, BCBA
• Myron F Shuster, DMD

• Oral and Maxillofacial Pathology Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Pathology Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.