SHORELINE ANESTHESIA, LLC
NPI 1407445620
Dentist - Dentist Anesthesiologist in Kokomo, IN

Q: What is Shoreline Anesthesia, LLC's NPI number?

The NPI number for Shoreline Anesthesia, LLC is 1407445620. It was assigned to this organization in the NPPES registry on January 12, 2021.

Q: What is Shoreline Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Active since January 12, 2021

101 N UNION ST UNIT 533, KOKOMO, IN 46901(718) 644-0622 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shoreline Anesthesia, Llc NPPES

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

SHORELINE ANESTHESIA, LLC (NPI 1407445620) is a healthcare organization registered as a dentist anesthesiologist in Kokomo, Indiana and active in the NPI registry since January 2021. The organization lists Thomas John Schaffer, President, as its authorized official.

NPPES Registry Identity

NPI1407445620

Entity TypeOrganization

Primary Taxonomy1223D0004X

Legal Business NameSHORELINE ANESTHESIA, LLC

Location Address101 N UNION ST UNIT 533Kokomo, IN 46901-5045

Mailing Address101 N Union St Unit 533Kokomo, IN 46901-5045 · (718) 644-0622

Phone(718) 644-0622

Organization SubpartNo

Authorized OfficialThomas John SchafferPresident · (718) 644-0622

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1407445620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

101 N UNION ST UNIT 533, Kokomo, IN 46901

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Other Identifiers 1

Medicaid1780052936MP

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

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 Shoreline Anesthesia, LLC's NPI number?

The NPI number for Shoreline Anesthesia, LLC is 1407445620. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is Shoreline Anesthesia, LLC located?

Shoreline Anesthesia, LLC is located at 101 N Union St Unit 533, Kokomo, IN 46901. The listed phone number is (718) 644-0622.

What is Shoreline Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Shoreline Anesthesia, LLC accept?

Health plans from DentaQuest USA Insurance list Shoreline Anesthesia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoreline Anesthesia, LLC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.