DR. BRIAN THOMAS SHAUGHNESSY (NPI# 1508024787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508024787 |
| Entity Type | Individual |
| Full Name | DR. BRIAN THOMAS SHAUGHNESSY |
| Credential | D.D.S. |
| Practice Address |
6532 Anthony Dr Ste C Victor NY 14564-1403 |
| Practice Telephone | 5858695314 |
| Practice Fax Number | 5858695314 |
| Mailing Telephone | 5858695314 |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901019770 | MI | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
056944 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DELTA DENTAL | 019770 | 01 |
| MI | ASSURANT | 381908328 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295993020 | Brian Francis Shaughnessy | Dentist | 233 Boston Post Rd, Wayland, MA 01778-1801 | 2008-05-29 |
| Street Address |
6532 ANTHONY DR STE C |
| City | VICTOR |
| State | NY |
| Zip Code | 14564-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891100681 | Victor Endodontics, Pllc | Dentist | 6532 Anthony Dr Ste C, Victor, NY 14564-1403 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110722 | Linda Lechner | Technician | 6251 Murphy Dr, Victor, NY 14564 | 2019-08-22 |
| 1447768320 | Christina Ann Counceller | Registered Nurse | 6731 Springdale Ct, Victor, NY 14564 | 2018-01-13 |
| 1679971915 | Claire Marie Higman | Social Worker | 6539 Anthony Dr, Suite A, Victor, NY 14564 | 2014-12-19 |
| 1528300233 | Fpr Specialty Pharmacy, LLC | Pharmacy | 7910 Rae Boulevard, Suite C, Victor, NY 14564 | 2013-03-20 |
| 1598017519 | Vanessa Lynn Becker | Licensed Practical Nurse | 6423 St.rte.96, Victor, NY 14564 | 2012-10-15 |
| 1154688281 | Brownstone Victor Physical Therapy | Specialist | 10 East Main Street, Suite 102, Victor, NY 14564 | 2012-04-13 |
| 1508138017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 427 Commerce Dr., Victor, NY 14564 | 2012-01-30 |
| 1568779759 | Carol Ann Marshall | Occupational Therapy Assistant | 590 Fisher's Station Dr., Victor, NY 14564 | 2010-09-09 |
| 1932345188 | Gina Marie Colucci | Speech-Language Pathologist | 7641 Pine Tree Dr, Victor, NY 14564 | 2008-12-17 |
| 1720231053 | Suzanne Lester | Nurse Practitioner | 1600 Moseley Road, Suite 300, Victor, NY 14564 | 2008-10-30 |
| Find all providers in zip 14564 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891100681 | Victor Endodontics, Pllc | Dentist | 6532 Anthony Dr Ste C, Victor, NY 14564-1403 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| Find all providers with the same taxonomy | ||||
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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.