IndividualActive
Shannon Shannon, D.D.S.
NPI 1063620706 · Dentist · Riverside, IL
Shannon Shannon, D.D.S. is a Dentist provider in Riverside, IL (NPI 1063620706).
Provider details
- NPI number
- 1063620706
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 N Delaplaine Rd
Riverside, IL 60546-2022
Phone: (708) 447-2100
Fax: (708) 447-0654
Street-level locationGet directions
Mailing address
221 S Catherine Ave
La Grange, IL 60525-2313
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shannon Shannon's NPI number?
- Shannon Shannon's National Provider Identifier (NPI) is 1063620706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Shannon's specialty?
- Shannon Shannon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Shannon Shannon located?
- Shannon Shannon's practice location on file with NPPES is 21 N Delaplaine Rd, Riverside, IL 60546-2022.
- What is Shannon Shannon's phone number?
- The practice phone number listed in the NPPES registry for Shannon Shannon is (708) 447-2100.
- Is Shannon Shannon's NPI active?
- Yes — Shannon Shannon's NPI (1063620706) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.