Shawana Neopi Patterson, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9248 Issued in NC

Practice address

801 Phillips Ave Ste 101
High Point, NC 27262-7293

Phone

(336) 812-3104

Fax

(336) 812-3105

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Care Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Aiken, SC
  • NPI 1043829922
  NPD Authorized official
• Mindful Mission & Associates

  • Community/Behavioral Health Agency
  • Aiken, SC
  • NPI 1225647100
  NPD Authorized official
• John N. Kent III, DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • High Point, NC
  • NPI 1568729895
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1083876189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 CROQUET CIR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272625017",
            "telephone_number": "202-607-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PHILLIPS AVE STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627293",
            "telephone_number": "336-812-3104",
            "fax_number": "336-812-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHAWANA",
        "middle_name": "NEOPI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9248",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000495",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "13720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Melissia Patiram, FNP-C
• Taylor Brianna Patrick, RN
• Jeremy Patterson, PHARMD
• Kristen Gregory Patterson, LCMHC
• Michelle Dick Patterson, CCC-SLP
• Olivia Aaliyah Ashanti Pattin
• Paul Kwon DDS PA
• Mark Alan Payne, PA
• Paula Payne, RN
• Susan Monroe Payne, NP

• Oral and Maxillofacial Surgery (Dentist) in High Point, NC
• Providers in High Point, 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 Apr 10, 2012; 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.