Joshua Joseph Shaw

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010092 Issued in AZ

Practice address

17081 W Greenway Rd Ste 120
Surprise, AZ 85388-9612

Phone

(623) 546-8400

NPI assigned

Jul 5, 2018

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canyon Modern Dentistry & Orthodontics

  • Dental Clinic/Center
  • Surprise, AZ
  • NPI 1366848897
  NPD (past)
• Dentists of North Glendale, LLP

  dba Dentists of North Glendale

  • Dentist
  • Glendale, AZ
  • NPI 1518434869
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1043706799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17081 W GREENWAY RD STE 120",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889612",
            "telephone_number": "623-546-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17081 W GREENWAY RD STE 120",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889612",
            "telephone_number": "623-546-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOSHUA",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Shamon, OTD, OTR/L
• Prashan Shanthakumar, DDS, MS
• Nandini Paul Sharma, M.D.
• Joelle Shavers
• Anne Shaw, NMD
• Jessica Shaylor
• London Sheard, RBT
• Sheitelman Chiropractic Inc
• Sheitelman Medical PLC
• David A. Sheitelman, D.C.

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.