Individual provider Active NPI

Shamayne Maria Frank, DDS

  • General Practice Dentistry
  • Sioux City, IA
National Provider Identifier
1962417733
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08224 Issued in IA
Practice address
321 W. 25TH St
Sioux City, IA 51104-4029
Phone
(712) 252-9894
Fax
(712) 252-9065
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08224 IA Primary
General Practice Dentistry 1223G0001X 6431 NE
General Practice Dentistry 1223G0001X M999 SD

Addresses

Primary practice location

321 W. 25TH St
Sioux City, IA 51104-4029

Mailing address

321 W. 25TH St
Sioux City, IA 51104-4029
Phone (712) 252-9894

Other identifiers 5

IdentifierTypeStateIssuer
1962417733MedicaidIA
10025004500MedicaidNE
7809990MedicaidSD
0566224MedicaidIA
470924181MedicaidSD

Other names 1

  • Miss Shamayne Maria Dose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150416002447 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638060403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08224IAMDGeneral Practice Dentistry
6431NEMDGeneral Practice Dentistry
M999SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shamayne M. Frank, DDS, PC General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1962417733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W. 25TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044029",
            "telephone_number": "712-252-9894",
            "fax_number": "712-252-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W. 25TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044029",
            "telephone_number": "712-252-9894",
            "fax_number": "712-252-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "SHAMAYNE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08224",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6431",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962417733",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025004500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809990",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566224",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470924181",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMAYNE",
            "last_name": "DOSE",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.