Look up the most recent NPI and PECOS records

Diana E Shoe

Dentist

Dental Providers

PECOS Enrollment

This provider is enrolled in PECOS as DIANA SHOE.

Based on the most recent information from CMS, provider Diana E Shoe is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1275979114
Provider Type
Individual
Full Name
Shoe, Diana E
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/19/2013
Last Updated
3/16/2021

Contact Information

Practice Location

335 Broadway, Hanover, PA 17331-2505

(717) 634-2461

Unlisted Fax

Mailing Location

1750 Youngs Rd, Hanover, PA 17331-9451

(443) 257-7014

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License DS039236 Pennsylvania

Diana E Shoe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Maust, Walter Elton

Cole Family Dentistry, Llc

Milner, Jacob

David A. Reese Dds Pc

Joseph, Rinu

Krishnan, Alexandra

Cho, Michael

Above & Beyond Family Dentistry, Llc

Silverman, Wayne Steven

Hart, Jon Eugene