DR. DALE ROGER SHAMPO MD
NPI 1124107917
Radiology - Diagnostic Radiology in Iron Mountain, MI

Active since November 03, 2006
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801(906) 774-1313 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dale Roger Shampo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE ROGER SHAMPO MD (NPI 1124107917) is an individual diagnostic radiology provider in Iron Mountain, Michigan, licensed in Michigan (4301029974) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1124107917
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DALE ROGER SHAMPOCredential: MD
Location Address1721 S STEPHENSON AVEIron Mountain, MI 49801-3637
Mailing Address1721 S Stephenson AveIron Mountain, MI 49801-3637 · (906) 774-1313
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124107917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301029974
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1721 S STEPHENSON AVE, Iron Mountain, MI 49801

Other Identifiers 4

Medicaid30436700WI
Medicaid1386409MI
Medicare UPINB44829MI
Other1386409MI · Molina

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Practitioner
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Physician Assistant
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Nurse Anesthetist, Certified Registered
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Radiology (Diagnostic Radiology)
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Occupational Therapist
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Shampo's NPI number?

The NPI number for Dale Shampo is 1124107917. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Dale Shampo located?

Dale Shampo practices at 1721 S Stephenson Ave, Iron Mountain, MI 49801. The listed phone number is (906) 774-1313.

What is Dale Shampo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Dale Shampo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.