SHANEIKA GOULDBOURNE DMD
NPI 1629902937
Dentist - General Practice in Jefferson City, MO

Active since June 11, 2026
1511 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 632-2777 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shaneika Gouldbourne Dmd NPPES

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

SHANEIKA GOULDBOURNE DMD (NPI 1629902937) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (2026025306) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1629902937
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHANEIKA GOULDBOURNECredential: DMD
Location Address1511 CHRISTY DRJefferson City, MO 65101-2854
Mailing Address4900 Nw 18th CtLauderhill, FL 33313-4125 · (954) 982-3733
Sole ProprietorNo
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1629902937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2026025306
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1511 CHRISTY DR, Jefferson City, MO 65101

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.

Pharmacy (Community/Retail Pharmacy)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Pharmacist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Nurse Practitioner (Family)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Family Medicine
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101

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 Shaneika Gouldbourne's NPI number?

The NPI number for Shaneika Gouldbourne is 1629902937. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Shaneika Gouldbourne located?

Shaneika Gouldbourne practices at 1511 Christy Dr, Jefferson City, MO 65101. The listed phone number is (573) 632-2777.

What is Shaneika Gouldbourne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shaneika Gouldbourne was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.