Shawn R McDevitt DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00007747 Issued in WA

Legal business name

SHAWN R MCDEVITT DDS PS

Practice address

307 S 11TH Ave
Yakima, WA 98902-3256

Phone

(509) 453-5568

Fax

(509) 453-5698

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawn R McDevitt, D.D.S.NPI 1447270772

Title

President

Phone

(509) 453-5568

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn R McDevitt, D.D.S.

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1447270772
  NPD (past) Authorized official
• Dale Edward Miller Jr., DDS

  • Dentist
  • Yakima, WA
  • NPI 1992885826
  NPD (past)
• Victoria Mae Wangmiller, DDS

  • Dentist
  • Yakima, WA
  • NPI 1962582890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1023113990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-453-5568",
            "fax_number": "509-453-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-453-5568",
            "fax_number": "509-453-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN R MCDEVITT DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-453-5568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "00007747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023676",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Shaub, PHARM. D.
• Stephen R Shaul, M.D.
• Shaw Neal Investments Inc. (Medicinemart Westside)
• Priya Brata Shaw, M.D.
• Shawn M Kurtz OD PLLC (Retrospecs Eye Center)
• Amanda Kay Shay, CDP
• SHC Medical Center - Yakima
• SHC Medical Center - Yakima
• SHC Medical Center - Yakima
• SHC Medical Center Yakima

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.