IndividualActive
Patrick Shannahan, DDS
NPI 1790977536 · Dentist · Cameron Park, CA
Patrick Shannahan, DDS is a Dentist provider in Cameron Park, CA (NPI 1790977536).
Provider details
- NPI number
- 1790977536
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 24405 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% 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
3420 Coach Lane #6
Cameron Park, CA 95682-3420
Phone: (530) 677-0203
Fax: (530) 677-6215
Street-level locationGet directions
Mailing address
3420 Coach Ln
Cameron Park, CA 95682-8448
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2014-07-28
Frequently asked questions
- What is Patrick Shannahan's NPI number?
- Patrick Shannahan's National Provider Identifier (NPI) is 1790977536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Shannahan's specialty?
- Patrick Shannahan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Patrick Shannahan located?
- Patrick Shannahan's practice location on file with NPPES is 3420 Coach Lane #6, Cameron Park, CA 95682-3420.
- What is Patrick Shannahan's phone number?
- The practice phone number listed in the NPPES registry for Patrick Shannahan is (530) 677-0203.
- Is Patrick Shannahan's NPI active?
- Yes — Patrick Shannahan's NPI (1790977536) is active in the NPPES registry as of the last update on 2014-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.