Shipp Dental Care, LTD.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHIPP DENTAL CARE, LTD.

Practice address

11721 Stinson Ave
Chisago City, MN 55013-9542

Phone

(651) 257-2921

Fax

(651) 257-2921

NPI assigned

Mar 24, 2007

Last updated

Aug 22, 2020By 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. Mary A. Shipp, D.D.S.NPI 1841318383

Title

President

Phone

(651) 257-2921

Specialties & licenses 1

Addresses

Other names 1

• Mary A. Shipp, D.D.S., Ltd. Former legal business name

Locations

Practitioners 4

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.

• Mary A. Shipp, D.D.S.

  • Dentist
  • Chisago City, MN
  • NPI 1841318383
  NPD (past) Authorized official
• David Bruce Albrecht, D.D.S.

  • General Practice Dentistry
  • Chisago City, MN
  • NPI 1689773517
  NPD (past)
• Kindra L Bratteig, D.D.S.

  • Dentist
  • Lindstrom, MN
  • NPI 1003983107
  NPD (past)
• Alison Lee Komarek, D.D.S.

  • General Practice Dentistry
  • Chisago City, MN
  • NPI 1821113838
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982721809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 STINSON AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139542",
            "telephone_number": "651-257-2921",
            "fax_number": "651-257-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 STINSON AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139542",
            "telephone_number": "651-257-2921",
            "fax_number": "651-257-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPP DENTAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-257-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary A. Shipp, D.D.S., Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer Posey, L. AC.
• Robert Paul Post, MD
• Jillian Marie Prosser, RN
• David C. Schmidt, D.C.
• Amy Penal Shaleen, LICSW
• Mary A. Shipp, D.D.S.
• Krista Shoberg, MS, CCC-SLP
• Gina Sophia Marchio Smith, CNP
• Brianna Sue Stauber, LICSW
• Total Eye Care LLC

• Dentist in Chisago City, MN
• Providers in Chisago City, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.