DR. STEPHANIE BROOKE SHANK (NPI# 1447548151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447548151 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE BROOKE SHANK |
| Credential | DDS, MS |
| Practice Address |
1700 W Smith Valley Rd Suite A-1 Greenwood IN 46142-1599 |
| Practice Telephone | 3178889833 |
| Practice Fax Number | 3178851754 |
| Mailing Telephone | 3178889833 |
| Mailing Fax Number | 3178851754 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12011699A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710943287 | Stephanie Shank | Counselor | 13295 Illinois St, Suite 132, Carmel, IN 46032-3019 | 2006-04-25 |
| 1013422682 | Stephanie Ellen Shank | Nurse Practitioner | 17 Western Maryland Pkwy Ste 100, Hagerstown, MD 21740-5471 | 2017-12-05 |
| Street Address |
1700 W SMITH VALLEY RD SUITE A-1 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801968235 | Laura Michelle St. John | Registered Nurse | 1700 W Smith Valley Rd, Ste. C-1, Greenwood, IN 46142-1599 | 2006-11-14 |
| 1730610833 | Park Pediatric Dentistry LLC | Dentist | 1700 W Smith Valley Rd, Suite B1, Greenwood, IN 46142-1599 | 2017-03-21 |
| 1770959520 | Dermatology Associates of Indy LLC | Dermatology | 1700 W Smith Valley Rd, Ste. B, Greenwood, IN 46142-1599 | 2015-08-17 |
| 1972891687 | Shank Orthodontics, LLC | Clinic/Center | 1700 W Smith Valley Rd, Suite A-1, Greenwood, IN 46142-1599 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700031291 | Phillip G. Mcclary | Dentist | 849 Highway 72 Bypass West, Greenwood, SC 29649 | 2008-11-25 |
| 1447462429 | Douglas Carlisle Mccartha | Dentist | 849 Highway 72 Bypass W, Greenwood, SC 29649 | 2007-05-04 |
| 1881714764 | Robert Cecil White Jr. | Dentist | 914 Medallion Dr, Greenwood, MS 38930-2118 | 2007-04-02 |
| 1861527848 | Donald Paul Darbro | Dentist | 1901 Breckenmore Dr, Greenwood, IN 46142-1300 | 2007-02-22 |
| 1891847968 | Mccallum Orthodontics Pa | Dentist | 608 Calhoun Ave, Greenwood, SC 29649 | 2007-01-17 |
| 1477191021 | Spencer White | Dentist | 914 Medallion Dr, Greenwood, MS 38930-2118 | 2019-12-13 |
| 1275981003 | Foster Orthodontics, Pa | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2016-06-02 |
| 1649495953 | Ernest J Mccallum | Dentist | 608 Calhoun Ave, Greenwood, SC 29649 | 2007-04-13 |
| 1063637379 | Edward Mccallum | Dentist | 608 Calhoun Ave, Greenwood, SC 29649 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1467917278 | Michael J Hacken | Dentist | 51565 Bittersweet Rd, Granger, IN 46530-8859 | 2019-02-06 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1518456557 | Smile Doctors of Indiana, P.C. | Dentist | 1410 S Quail Run Rd, Vincennes, IN 47591-6845 | 2018-05-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STEPHANIE BROOKE SHANK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.