Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164577508 Deactivated / Inactive NPI Male Practitioner

Dr. John Richard Shand , DDS

Dentist - General Practice • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Shand has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2007
NPI Deactivation Date December 16, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Shand, DDS was a registered Dentist - General Practice practicing in Minneapolis, MN. Throughout an active medical career spanning 15 years, Dr. Shand provided care at the practice location at 4948 34TH AVE S until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

4948 34th Ave S

Minneapolis, MN 554171504

Telephone 6127224676
Fax 6127222023
Associated Practice Facility / Clinic
🏢 Nokomis Family Dental Pa Facility NPI 1689284481

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
214 Specialists

Practicing in Minneapolis, MN (2262 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D9389

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

1 Associated Practitioners
NPI 1437768314

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4948 34TH AVE S, MINNEAPOLIS, MN 554171504 (Tel: 6127224676)

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Updated Business Mailing Address July 08, 2007

Registered at 4948 34TH AVE S, MINNEAPOLIS, MN 554171504 (Tel: 6127224676)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SHAND, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D9389 in MN)

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Initial NPI Registration & Enumeration January 24, 2007

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: 1164577508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: July 08, 2007
Deactivation Date: December 16, 2022

Mailing Address

4948 34th Ave S

Minneapolis, MN 554171504

Phone: 6127224676

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.