DR. DEVIN BRANT SHONE (NPI# 1740628619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740628619 |
| Entity Type | Individual |
| Full Name | DR. DEVIN BRANT SHONE |
| Credential | D.D.S. |
| Practice Address |
477 S Landmark Ave Bloomington IN 47403-5005 |
| Mailing Address |
4743 Pearcrest Way Greenwood IN 46143-7803 |
| Practice Telephone | 8123550855 |
| Mailing Telephone | 7655240216 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12012040A | IN | Dental Providers |
| Street Address |
477 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336156850 | Kyle Wayne Taylor | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2006-08-01 |
| 1780850628 | Bloomington Pediatric Dentistry L.L.C. | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2008-05-01 |
| 1447450879 | Tamara Lynn Gierke | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063596633 | J Keith Roberts | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2006-10-24 |
| 1336156850 | Kyle Wayne Taylor | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2006-08-01 |
| 1598710659 | Donald Wayne Baker | Dentist | 4217 E 3rd St, Bloomington, IN 47401-5550 | 2006-05-24 |
| 1356634471 | Southern Indiana Pediatric Dentistry, LLC | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2011-05-23 |
| 1518290550 | J Keith Roberts Dds LLC | Dentist | 828 S Auto Mall Rd, Bloomington, IN 47401-5430 | 2009-09-09 |
| 1780850628 | Bloomington Pediatric Dentistry L.L.C. | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2008-05-01 |
| 1447450879 | Tamara Lynn Gierke | Dentist | 477 S Landmark Ave, Bloomington, IN 47403-5005 | 2007-07-24 |
| 1376669937 | Robert Frederick Rimstidt | Dentist | 515 S Woodscrest Dr, Bloomington, IN 47401-5524 | 2007-03-22 |
| 1891886305 | Thomas Douglas Hall | Dentist | 211 S Prospect Rd, Bloomington, IL 61704-4910 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.