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Deactivated NPI 1003801069 Deactivated / Inactive NPI Female Practitioner

Dr. Inna V Shimanovsky , DMD

Dentist • Oak Grove, OR

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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. Inna Shimanovsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Inna Shimanovsky, DMD was a registered Dentist practicing in Oak Grove, OR. Throughout an active medical career spanning 1 years, Dr. Shimanovsky provided care at the practice location at 16640 SE MCLOUGHLIN BLVD until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

16640 Se Mcloughlin Blvd

Oak Grove, OR 972674810

Telephone 5036593003

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oak Grove, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Oak Grove, OR (1289 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D7792

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.

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 16640 SE MCLOUGHLIN BLVD, OAK GROVE, OR 972674810 (Tel: 5036593003)

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Updated Business Mailing Address July 08, 2007

Registered at 13217 SW ROCKINGHAM DR, TIGARD, OR 972231779 (Tel: 5035211946)

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Provider Name / Credentials Updated July 08, 2007

Recorded as INNA SHIMANOVSKY, DMD

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

Dentist (License #D7792 in OR)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 15, 2005

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: 1003801069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: July 13, 2026
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

13217 Sw Rockingham Dr

Tigard, OR 972231779

Phone: 5035211946

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.