DR. NICOLE MARIE SHANKLIN (NPI# 1740684828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740684828 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE SHANKLIN |
| Credential | D.M.D. |
| Practice Address |
1350 E Main St Grass Valley CA 95945-5208 |
| Mailing Address |
3460 Cobblestone Dr Rocklin CA 95765-4154 |
| Practice Telephone | 5304779560 |
| Practice Fax Number | 5308898169 |
| Mailing Telephone | 4082094682 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64094 | CA | Dental Providers |
| Street Address |
1350 E MAIN ST |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304536 | Marlowe Gates Dieckmann | Family Medicine | 1350 E Main St, Grass Valley, CA 95945-5208 | 2018-04-30 |
| 1548781495 | Sarah Janell Bland | Nurse Practitioner | 1350 E Main St, Chapa-de Indian Health, Grass Valley, CA 95945 | 2017-06-30 |
| 1225420714 | Grace Bell | Registered Nurse | 1350 E Main St, Grass Valley, CA 95945-5208 | 2015-02-20 |
| 1508206657 | Maria Ahleen De Leon Medina | Dentist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2013-07-02 |
| 1780960963 | Thao Ho | Pharmacist | 1350 E Main St, Chapa-de, Grass Valley, CA 95945 | 2011-11-01 |
| 1851627970 | Sarah Rebecca Sostrin | Acupuncturist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2009-10-23 |
| 1942435946 | Chapa-de Indian Health Program Inc | Pharmacy | 1350 E Main St, Pharmacy Dept, Grass Valley, CA 95945-5208 | 2009-05-19 |
| 1922138841 | Chapa-de Indian Health Program, Inc. | Clinic/Center | 1350 E Main St, Grass Valley, CA 95945-5208 | 2007-03-07 |
| 1306983846 | Allan Ralph Schultz | Dentist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236408 | Steven Matthew Bonzell | Dentist | 565 Brunswick Rd Ste 14, Grass Valley, CA 95945-9529 | 2019-07-01 |
| 1891930467 | Chau B Tran | Dentist | 1061 E Main St Ste 102, Grass Valley, CA 95945-5724 | 2008-12-10 |
| 1053581033 | Nathan Charles Brott | Dentist | 300 Sierra College Drive, Suite 285, Grass Valley, CA 95945 | 2008-03-06 |
| 1235329442 | Paul Imre Falvey | Dentist | 316 S Auburn St, Suite 4, Grass Valley, CA 95945-7298 | 2007-07-25 |
| 1912021379 | Paul Lewis Evans | Dentist | 563 Brunswick Rd., #1, Grass Valley, CA 95945 | 2007-03-19 |
| 1902937642 | Richard Gareth Hochwald | Dentist | 316 S Auburn St Ste 1, Grass Valley, CA 95945-7298 | 2007-03-07 |
| 1699824813 | Gregory Brian Moulton | Dentist | 148 Catherine Lane, Grass Valley, CA 95945-5717 | 2007-01-09 |
| 1942304571 | Becky Schultz | Dentist | 500 Crown Point Cir Ste 110, Grass Valley, CA 95945-9514 | 2006-09-12 |
| 1134149917 | Amalia Nichole Griego | Dentist | 316 S Auburn St Ste 6, Grass Valley, CA 95945-7298 | 2006-07-21 |
| 1942286885 | Jeremy M Young | Dentist | 1364 Whispering Pines Lane, Suite 2, Grass Valley, CA 95945 | 2005-12-22 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.