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Active NPI 1780427096 Individual Practitioner Male Practitioner

Dr. Shandon Demetrius Boone , DDS

Dentist - General Practice • Shawnee, KS

Professional Overview & Biography Verified Profile Summary

Dr. Shandon Boone, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shawnee, KS. Practice services are available at 15834 SHAWNEE MISSION PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15834 Shawnee Mission Pkwy

Shawnee, KS 662179326

Telephone 9136310866
Associated Practice Facility / Clinic
🏢 Shawnee Dental Group, Pa Facility NPI 1871987545

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shawnee, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
31 Specialists

Practicing in Shawnee, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 62147

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Mansoor Safder , DDS

Dentist - Endodontics

NPI 1144838590

Doctor of Dental Surgery

NPI 1518526557

Doctor of Dental Surgery

NPI 1912003955

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2024

Registered at 15834 SHAWNEE MISSION PKWY, SHAWNEE, KS 662179326 (Tel: 9136310866)

📍
Updated Business Mailing Address June 14, 2024

Registered at 8961 METCALF AVE APT 543, OVERLAND PARK, KS 662121587 (Tel: 3142774146)

👤
Provider Name / Credentials Updated June 14, 2024

Recorded as SHANDON BOONE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2024

Dentist (License #62147 in KS)

🟢
Initial NPI Registration & Enumeration June 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780427096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2024
Last Update: June 14, 2024
Sole Proprietor: No

Mailing Address

8961 Metcalf Ave Apt 543

Overland Park, KS 662121587

Phone: 3142774146

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.