SHANK ORTHODONTICS, LLC (NPI# 1972891687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972891687 |
| Entity Type | Organization |
| Organization Name | SHANK ORTHODONTICS, LLC |
| 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 | 2016-11-04 |
| Authorized Official Name | DR. STEPHANIE BROOKE SHANK (SOLE MEMBER) |
| Authorized Official Telephone | 3178889833 |
| Authorized Official Credential | D.D.S, M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12011699A | IN | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SHANK ORTHODONTICS, LLC | 8802 Madison Ave, Ste A, Indianapolis, IN 46227 |
| 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 |
| 1447548151 | Stephanie Brooke Shank | Dentist | 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
| 1730708157 | Amy Montefalco D.d.s LLC | Clinic/Center | 2801 Fairview Pl Ste U, Greenwood, IN 46142-1339 | 2020-04-15 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| 1982205415 | Stacy D Johnson, Dds, PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-11-02 |
| 1720693401 | Samela Family Dentistry, LLC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2020-09-10 |
| 1619586773 | Stacy D Johnson Dds PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-07-24 |
| 1538702915 | Whole Life On-site LLC | Clinic/Center | 301 Montague Ave, Greenwood, SC 29649-1939 | 2019-10-18 |
| 1205497880 | Mark E Gleixner, Dds, PC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2019-06-25 |
| Find all providers in GREENWOOD | ||||
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| 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.