Michael E. Shannon, D.M.D., P.S.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00004797 Issued in WA

Legal business name

MICHAEL E. SHANNON, D.M.D., P.S.C.

Doing business as

Shannon Dental Health Center

Practice address

800 N Center Pkwy
Kennewick, WA 99336-7118

Phone

(509) 783-0824

Fax

(509) 783-9136

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael E Shannon, D.M.D.NPI 1467542852

Title

President

Phone

(509) 783-0824

Specialties & licenses 1

Addresses

Other names 1

• Shannon Dental Health Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E Shannon, DMD

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1467542852
  NPD (past) Authorized official
• Kathlyn Rose Amos, D.M.D.

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1598912156
  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1952856130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N CENTER PKWY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367118",
            "telephone_number": "509-783-0824",
            "fax_number": "509-783-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CENTER PKWY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367118",
            "telephone_number": "509-783-0824",
            "fax_number": "509-783-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. SHANNON, D.M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-783-0824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00004797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brettany L Metzker
• Beverly Ann Mey, PT
• Shasta C Meyers
• Theresa K Meyers, LMP
• MH Health Care Services, PC (Pacific Health Coalition - Tri Cities)
• Jeffrey Carl Michaelis
• Sophie Ann Michel
• Mid Columbia Ambulance LLC
• Mid-Columbia Ear, Nose & Throat, P.L.L.C.
• Mid-Columbia Endoscopy Center, LLC

• Dental Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.