DR. TIMOTHY MICHAEL SHANNON (NPI# 1952314817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952314817 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MICHAEL SHANNON |
| Credential | D.D.S., M.S |
| Practice Address |
2214 W Boyd St Norman OK 73069-4836 |
| Practice Telephone | 4053212735 |
| Practice Fax Number | 4053217877 |
| Mailing Telephone | 4053212735 |
| Mailing Fax Number | 4053217877 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
136 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614579 | Timothy Patrick Shannon | Technician, Pathology | 6748 Mary Ave Nw, #104, Seattle, WA 98117-5360 | 2017-05-01 |
| 1457314858 | Timothy W Shannon | Optometrist | 1234 7th St, Suite 2, Santa Monica, CA 90401-1614 | 2006-04-08 |
| 1770641128 | Timothy Patrick Shannon | Dentist | 4450 Se Johnson Creek Blvd, Milwaukie, OR 97222-9217 | 2006-12-05 |
| 1801832597 | Timothy M. Shannon | Specialist | 4801 S Congress Ave, Suite 301, Lake Worth, FL 33461-4746 | 2006-06-21 |
| 1811968589 | Timothy J Shannon | Orthopaedic Surgery | 410 University Pkwy, Suite 1000, Aiken, SC 29801 | 2006-01-30 |
| Street Address |
2214 W BOYD ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952572091 | Orthodontics Exclusively Pllc | Dentist | 2214 W Boyd St, Norman, OK 73069-4836 | 2008-03-17 |
| 1124208285 | Mark James Revels | Dentist | 2214 W Boyd St, Norman, OK 73069-4836 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| 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 |
|---|---|---|---|---|
| 1295168284 | Craig & Streight Orthodontics | Dentist | 706 24th Ave Nw, Norman, OK 73069-6232 | 2013-08-14 |
| 1194852822 | Robi Lynn Craig | Dentist | 707 24th Ave Sw Ste 103, Norman, OK 73069-3957 | 2007-02-28 |
| 1508955311 | Jay Patrick Fitzgerald | Dentist | 444 36th Ave Nw, Norman, OK 73072-4703 | 2006-10-11 |
| 1235153941 | Richard S Gilman | Dentist | 2500 Mcgee Dr Ste 121, Norman, OK 73072-6705 | 2006-07-26 |
| 1033592423 | Behrmann Orthodontics Pllc | Dentist | 2500 Mcgee Dr Ste 121, Norman, OK 73072-6705 | 2015-07-02 |
| 1013330885 | Dental Depot Orthodontics Norman Pllc | Dentist | 701 W Main St, Norman, OK 73069-6918 | 2014-01-29 |
| 1497189294 | Ryan Alan Streight | Dentist | 706 24th Ave Nw, Norman, OK 73069-6232 | 2013-08-28 |
| 1669770467 | D.e. Mccune, Pllc | Dentist | 824 24th Ave Nw, Norman, OK 73069-6312 | 2011-03-03 |
| 1407004096 | Jay P. Fitzgerald, Dds, Ms, PC | Dentist | 444 36th Ave Nw, Norman, OK 73072-4703 | 2008-09-08 |
| 1952572091 | Orthodontics Exclusively Pllc | Dentist | 2214 W Boyd St, Norman, OK 73069-4836 | 2008-03-17 |
| Find all providers in NORMAN | ||||
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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.