Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLTON SHANER
NPI 1164285706
Student in an Organized Health Care Education/Training Program in Jbsa Lackland, TX

Active since February 06, 2024
2133 PEPPERRELL ST BLDG 3352, JBSA LACKLAND, TX 78236(210) 292-7269 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Feb 6, 2024 (2 updates tracked since 2024).

About Colton Shaner NPPES

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

COLTON SHANER (NPI 1164285706) is an individual student in an organized health care education/training program in Jbsa Lackland, Texas and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1164285706
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLTON SHANER
Location Address2133 PEPPERRELL ST BLDG 3352Jbsa Lackland, TX 78236-5313
Mailing Address1001 Shadow LnLas Vegas, NV 89106-4124
Sole ProprietorNo
Enumeration DateFebruary 6, 2024
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1164285706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2133 PEPPERRELL ST BLDG 3352, Jbsa Lackland, TX 78236

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

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 Colton Shaner's NPI number?

The NPI number for Colton Shaner is 1164285706. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Colton Shaner located?

Colton Shaner practices at 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7269.

What is Colton Shaner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Colton Shaner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.