Shenan Bradshaw DDS MD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SHENAN BRADSHAW DDS MD PA

Doing business as

Mooresville Oral Surgery

Practice address

858 Brawley School Rd Ste C
Mooresville, NC 28117-8208

Phone

(704) 799-3555

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SHENAN BRADSHAW DDS MD PAAs reported in NPPES

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

Authorized official

Name

Jennifer Graves

Title

Practice Admin

Phone

(704) 799-3555

Specialties & licenses 1

Addresses

Other names 1

• Mooresville Oral Surgery Doing business as

Tax ID family

Shenan Bradshaw DDS MD PA4 organizations share this tax ID, including this one

Part of

Shenan Bradshaw DDS MD PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shenan Bradshaw DDS MD PA

  dba Piedmont Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greensboro, NC
  • NPI 1114710472
  NPD tax ID
• Shenan Bradshaw DDS MD PA

  dba Carolina Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Gastonia, NC
  • NPI 1922895150
  NPD tax ID
• Shenan Bradshaw DDS MD PA

  dba Greensboro Oral, Implant & Implant Facial Cosmetic Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1952315301
  NPD tax ID

Locations

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1023813888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 BRAWLEY SCHOOL RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 BRAWLEY SCHOOL RD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178208",
            "telephone_number": "704-799-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENAN BRADSHAW DDS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHENAN BRADSHAW DDS MD PA",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "704-799-3555"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mooresville Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gillian Sharp, OTR/L
• Heather Anne Shaw, MS, CCC-SLP
• Daniel Shears, RPH
• Lauren Ellard Shelton, PHARMD
• Talia Michelle Shelton, LAT, ATC
• Sherri Robbins Counseling PLLC (Sound Mind Counseling & Neurotherapy)
• Casey Laney Sherrill, MA, CCC-SLP
• Antonia Shoemaker
• Clay Warren Sholar, D.D.S.
• Jane Young Sholar, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.