Timberlake Shaw PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60035235 Issued in WA

Legal business name

TIMBERLAKE SHAW PLLC

Practice address

4522 15TH Ave NE
Seattle, WA 98105-4507

Phone

(206) 523-2025

Fax

(206) 525-6956

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott Gallagher Shaw, DDS

Title

Dentist/Owner

Phone

(206) 523-2025

Specialties & licenses 1

Addresses

Other names 1

• Timberlake Aleinikoff & Shaw Doing business as

Tax ID family

Steven C Aleinikoff DDS Craig M Timberlake DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Steven C. Aleinikoff, DDS & Craig M. Timberlake, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1285851006
  NPD tax ID

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1053866947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054507",
            "telephone_number": "206-523-2025",
            "fax_number": "206-525-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054507",
            "telephone_number": "206-523-2025",
            "fax_number": "206-525-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE SHAW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GALLAGHER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-523-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60035235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlake Aleinikoff & Shaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Tillotson
• Becka Tilsen, MA
• Nicole Rae Tilson, LMT
• Stephanie Jane Tilston, MD
• Joanne Elizabeth Tilton, ARNP
• Clare Timberlake, PA-C
• Diane Marie Timberlake, MD
• Timberly'S Pediatric and Adolescent Care LLC
• Anna Timbol, NP
• Jessica Timins, LAC, EAMP

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 20, 2016; 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.