Jennifer Marie Shaheen-McNiel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019994 Issued in MI

Practice address

1905 Abbott Rd
East Lansing, MI 48823-8571

Phone

(517) 351-6140

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

Yes

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 MI

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

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.

• McNiel Family Dentistry, PC

  • General Practice Dentistry
  • East Lansing, MI
  • NPI 1548654247
  NPD (past) Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1972801314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-351-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-351-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN-MCNIEL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanon Sethabutra, LPC
• Sandra Viviana Severo-Lopez, MS
• William Seydel, D.O.
• Christine Larsen Shafer, M.D.
• Nirali Kushant Shah, B.P.T., R.P.T.
• Michael D Shaheen, D.C.
• Shannon Joseph LLC
• Jianyi Jim Shao, P.T.
• Mukta Sharma, M.D
• Sharon R Hobbs, PC

• General Practice Dentistry in East Lansing, MI
• Providers in East Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.