1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Dentist
  6. NPI Profile

DR. SONYA ANN SHIVELY DDS
NPI 1689956120
Dentist - General Practice in Fort Wayne, IN

Active since September 11, 2011
4616 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-8414(260) 432-2250 Get Directions Write a Review

NPPES record last updated: September 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sonya Ann Shively Dds NPPES

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

DR. SONYA ANN SHIVELY DDS (NPI 1689956120) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12010188A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1689956120
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SONYA ANN SHIVELYCredential: DDS
Location Address4616 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4616 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 432-8414 · Fax (260) 432-2250
Phone(260) 432-8414
Fax(260) 432-2250
Sole ProprietorYes
Enumeration DateSeptember 11, 2011
✔ NPI 1689956120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12010188A
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.
4616 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LORA WONDERLY DMD
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596
MIDTOWN DENTAL P C
Dentist (General Practice)
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596
BERGER DENTISTRY SW
Dentist
4616 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8596

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 Sonya Shively's NPI number?

The NPI number for Sonya Shively is 1689956120. It was assigned to this individual provider in the NPPES registry on September 11, 2011.

Where is Sonya Shively located?

Sonya Shively practices at 4616 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-8414.

What is Sonya Shively'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 Sonya Shively was last updated on September 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.