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DR. SHANE GANTOS DDS
NPI 1679466460
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since May 30, 2025
700 19TH ST S, BIRMINGHAM, AL 35233(205) 933-8101 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shane Gantos Dds NPPES

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

DR. SHANE GANTOS DDS (NPI 1679466460) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1679466460
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHANE GANTOSCredential: DDS
Location Address700 19TH ST SBirmingham, AL 35233-1927
Mailing Address13201 Lake Shore DrFenton, MI 48430-1019 · (810) 869-2667
Phone(205) 933-8101
Sole ProprietorNo
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1679466460 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.
700 19TH ST S, Birmingham, AL 35233
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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.

KISHA CAROL DAVIS LPN
Licensed Practical Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MARY JANE MOORE CRNP
Nurse Practitioner (Family)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MS. JENESIS C. SAFFORD DPT
Physical Therapist
700 19TH ST S, ROOM 8307
BIRMINGHAM, AL 35233
Jefferson County (205) 933-4390
MS. JACQUELINE MARIE CLARK RN
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MELISSA EVANS
Social Worker (Clinical)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 369-0865
MR. JONATHAN PAUL WAGER R.T. (R)(CT)(MR)(BD)
Radiology (Diagnostic Radiology)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (541) 733-2411
TIFFANY ADAMS MCGEE
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
NAOMIE LOUIS-JEUNE
Registered Nurse (General Practice)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101

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 Shane Gantos's NPI number?

The NPI number for Shane Gantos is 1679466460. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Shane Gantos located?

Shane Gantos practices at 700 19th St S, Birmingham, AL 35233. The listed phone number is (205) 933-8101.

What is Shane Gantos'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 Shane Gantos was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.