Shannon Michelle Stetz, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH2281 Issued in ID

Practice address

500 W Fort St
Boise, ID 83702-4501

Phone

(208) 422-1000

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Michelle Schritter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians

  • Primary Care Clinic/Center
  • Coos Bay, OR
  • NPI 1780755454
  NPD (past)
• Confederated Tribes of Coos, Lower Umpqua, & Siuslaw Indians

  • Dental Clinic/Center
  • Coos Bay, OR
  • NPI 1326889023

  Dental Hygienist

  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1962956904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 W STARDUST DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090367",
            "telephone_number": "208-406-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZ",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ID",
            "license": "DH2281",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "D5980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SCHRITTER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sterling Provider Group
• Sterling Provider Group
• Darrell D. Sterling, RPH
• Hugh G Sterling, M.D.
• Alice Sternke, RPT
• Steven J Berg Anesthesia PLLC
• Shannon Stevens-Commers
• Barbara Ann Stevens, LCPC
• Dennis Leroy Stevens, M.D.
• Kacie Michelle Stevens

• Dental Hygienist in Boise, ID
• Providers in Boise, ID by specialty
• Dental Hygienist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.