James Virgil Shaner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MO 013697 Issued in MO

Practice address

520 W Pine St
Farmington, MO 63640-1426

Phone

(573) 756-4245

NPI assigned

Nov 21, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • Farmington, MO
  • NPI 1417346016
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942375662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-756-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-756-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANER",
        "first_name": "JAMES",
        "middle_name": "VIRGIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "MO 013697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Leigh Scott
• Shanna Scott
• Philip M Senter, MSED LPC
• Zenaida Ambrocio Servando, MD
• Bina Shah, PT
• Sony Sharp, PHARMD
• Landon Shea, DO
• Kayla Renea Shelton
• David Shepard, BC-HIS
• Brandi Renee Shibley

• General Practice Dentistry in Farmington, MO
• Providers in Farmington, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.