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DR. SHALE MELISSA NINNEMAN DDS
NPI 1649979212
Student in an Organized Health Care Education/Training Program in Sammamish, WA

Active since March 02, 2023
2704 A 212TH AVE SE, A, SAMMAMISH, WA 98075(425) 647-3747 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shale Melissa Ninneman Dds NPPES

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

DR. SHALE MELISSA NINNEMAN DDS (NPI 1649979212) is an individual student in an organized health care education/training program in Sammamish, Washington and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1649979212
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHALE MELISSA NINNEMANCredential: DDS
Location Address2704 A 212TH AVE SE, ASammamish, WA 98075
Mailing Address2704 A 212th Ave Se, ASammamish, WA 98075 · (425) 647-3747
Phone(425) 647-3747
Sole ProprietorNo
Enumeration DateMarch 2, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1649979212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2704 A 212TH AVE SE, A, Sammamish, WA 98075
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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 Shale Ninneman's NPI number?

The NPI number for Shale Ninneman is 1649979212. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Shale Ninneman located?

Shale Ninneman practices at 2704 A 212th Ave SE, A, Sammamish, WA 98075. The listed phone number is (425) 647-3747.

What is Shale Ninneman'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 Shale Ninneman was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.