PATRICK SHANNON (NPI# 1700020567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700020567 |
| Entity Type | Individual |
| Full Name | PATRICK SHANNON |
| Credential | D.D.S. |
| Practice Address |
3150 E 41st St Tulsa OK 74105-3717 |
| Practice Telephone | 9187432321 |
| Practice Fax Number | 9187495121 |
| Mailing Telephone | 9187432321 |
| Mailing Fax Number | 9187495121 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3080 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245582717 | Patrick Shannon | Physician Assistant | 319 S Manning Blvd Ste 304, Albany, NY 12208-1744 | 2012-10-09 |
| 1396028171 | Patrick Dewayne Shannon | Pharmacist | 110 E Creighton Ave, Fort Wayne, IN 46803-3344 | 2011-09-27 |
| 1184937682 | Patrick Shannon | Dentist | 1692 Massachusetts Ave, Cambridge, MA 02138-1878 | 2010-07-26 |
| 1528090172 | Patrick Robert Shannon | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2006-07-06 |
| 1538157433 | Patrick J Shannon | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-10-13 |
| 1316933260 | Patrick L. Shannon | Specialist | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2005-09-26 |
| Street Address |
3150 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74105-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972543569 | John William Hickman | Psychologist | 3150 E 41st St, Ste 107, Tulsa, OK 74105-3717 | 2006-06-08 |
| 1356830004 | S & B Dental, Pllc | Dentist | 3150 E 41st St, Tulsa, OK 74105-3717 | 2018-05-08 |
| 1922382373 | Marion Sigurdson, Ph.d. Pllc | Psychologist | 3150 E 41st St, Suite 107, Tulsa, OK 74105-3717 | 2011-10-04 |
| 1285960526 | Smile Concepts PC | Dentist | 3150 E 41st St, Suite 108, Tulsa, OK 74105-3717 | 2009-10-21 |
| 1205019825 | Kenneth Garner, Dds, Inc, PC | Dentist | 3150 E 41st St, Suite #100, Tulsa, OK 74105-3717 | 2007-12-06 |
| 1447439898 | Danny Stos | Dentist | 3150 E 41st St, Suite100, Tulsa, OK 74105-3717 | 2007-11-01 |
| 1780801183 | Kyle Shannon | Dentist | 3150 E 41st St, Suite 112, Tulsa, OK 74105-3717 | 2007-04-19 |
| 1932278942 | Marion K Sigurdson | Psychologist | 3150 E 41st St, Suite 107, Tulsa, OK 74105-3717 | 2006-11-06 |
| 1285729905 | Gina Lavella Stolz | Dentist | 3150 E 41st St, Suite 131, Tulsa, OK 74105-3717 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| 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 |
|---|---|---|---|---|
| 1548478381 | Anand N. Patel P.C. | Dentist | 4550 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-05-17 |
| 1104041920 | Jonathan Scott Cooper | Dentist | 3916 E 91st St, Tulsa, OK 74137-3602 | 2007-04-16 |
| 1174669527 | Kirkpatrick & Lai Dds Inc PC | Dentist | 5304 S Harvard Ave, Tulsa, OK 74135-3817 | 2007-01-30 |
| 1124199807 | Blake R. Henry | Dentist | 7705 E 81st St, Tulsa, OK 74133-4200 | 2006-11-13 |
| 1912916123 | Mark Alan Andregg | Dentist | 10125 S Sheridan Rd, Suite E, Tulsa, OK 74133-6737 | 2006-08-05 |
| 1396752663 | Van L. Nowlin | Dentist | 5010 East 68th St., Ste 200, Tulsa, OK 74136-3305 | 2006-08-01 |
| 1174565790 | L Kent Shacklett | Dentist | 3305 E 45th St, Tulsa, OK 74135-2901 | 2006-06-11 |
| 1528027091 | Ryan V. Nowlin Dds, Ms, PC | Dentist | 5010 E. 68th St., Suite 200, Tulsa, OK 74136 | 2006-03-22 |
| 1750366514 | Robert Jerome Herman | Dentist | 6565 S Yale Ave Ste 510, Tulsa, OK 74136-8306 | 2005-12-14 |
| 1225029671 | Lawrence Elliott Sims | Dentist | 2117 S Atlanta Pl, Tulsa, OK 74114-1709 | 2005-11-03 |
| Find all providers in TULSA | ||||
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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.