DR. BRIAN PAUL SHANNON (NPI# 1790725380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790725380 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PAUL SHANNON |
| Credential | DDS |
| Practice Address |
130 C Granite Street Westerly RI 02891 |
| Practice Telephone | 4015968720 |
| Practice Fax Number | 4015965403 |
| Mailing Telephone | 4015968720 |
| Mailing Fax Number | 4015965403 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2263 | RI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558722280 | Brian Shannon | Counselor | 1133 Nw Wall St, Suite 1, Bend, OR 97703-1962 | 2016-03-08 |
| 1740239516 | Brian D. Shannon | Orthopaedic Surgery | 2494 Bernville Rd Ste 205, Reading, PA 19605 | 2006-05-09 |
| 1003214842 | Brian Hugh Shannon | Nurse Practitioner | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2014-12-10 |
| 1740535939 | Brian L Shannon | Specialist/Technologist | 1 Medical Center Drive, Level 1, Hsc South, Morgantown, WV 26506-9152 | 2012-07-13 |
| 1942352877 | Brian M Shannon | Chiropractor | 260 Godwin Ave, Suite 1, Wyckoff, NJ 07481-5200 | 2007-01-18 |
| 1891765673 | Brian D Shannon | Specialist | 752 Brookshire Dr, Suite 3, Hermitage, PA 16148-4510 | 2006-01-25 |
| Street Address |
130 C GRANITE STREET |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| 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 |
|---|---|---|---|---|
| 1497980924 | Childrens Dentistry of Westerly LLC | Dentist | 130 Granite St # C, Westerly, RI 02891-2461 | 2009-05-28 |
| 1598991341 | Anna Katherine Capalbo | Dentist | 130 Granite St, Westerly, RI 02891-2461 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919989 | Lavoie & Associates | Dentist | 31 King Charles Dr Ste D, Portsmouth, RI 02871-1448 | 2020-07-06 |
| 1427505593 | Olga Raptis | Dentist | Children's Dentistry of East Greenwich, 5700 Post Rd Suite #5, East Greenwich, RI 02916 | 2016-09-07 |
| 1891157145 | Michael Gregory Hatton | Dentist | 5700 Post Rd, East Greenwich, RI 02818-3464 | 2016-03-25 |
| 1184084378 | Funsmiles, Inc | Dentist | 123 School St Ste 1, Pawtucket, RI 02860-4203 | 2016-03-01 |
| 1336548130 | South County Pediatric Dentistry, LLC | Dentist | 6 Lambert Street, Narragansett, RI 02882-3399 | 2014-08-18 |
| 1295028488 | Matthew Westcott Downey | Dentist | 6 Lambert St, Narragansett, RI 02882-3509 | 2011-05-19 |
| 1194887661 | William B Chan | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2006-12-14 |
| 1770679581 | Fotini Dionisopoulos | Dentist | 1090 New London Avenue, Cranston, RI 02920 | 2006-10-05 |
| 1275583874 | Farisa Surattanont Mulvey | Dentist | 148 Waterman St, Providence, RI 02906-2130 | 2006-05-12 |
| 1164490553 | Anthony J Tilelli | Dentist | 336 Cowesett Ave, West Warwick, RI 02893 | 2006-03-10 |
| 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.