Steven Scott Shaw, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3547 Issued in ME

Practice address

163 Pleasant Ave
Portland, ME 04103-3242

Phone

(207) 773-3794

Fax

(207) 772-1011

NPI assigned

Feb 10, 2007

Last updated

Sep 16, 2020By 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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Steven S. Shaw, D.M.D., P.C.

  • Dentist
  • Portland, ME
  • NPI 1730420423
  Authorized official Same address or phone
• Scituate Family Dental, PC

  • General Practice Dentistry
  • Scituate, MA
  • NPI 1104290758
  NPD (past)
• Scituate Family Dentistry, Inc

  • General Practice Physician
  • Scituate, MA
  • NPI 1760870232
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1114068277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BROOKSIDE RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034609",
            "telephone_number": "207-329-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033242",
            "telephone_number": "207-773-3794",
            "fax_number": "207-772-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "STEVEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javere Shaw, LMT
• Jill Shaw, LCPC
• Nancy E Shaw, LCPC
• Peter K Shaw, M.D.
• Samuel Shaw
• David Shawkat
• Shawn Gebhardt LCPC Inc.
• Shaws Supermarkets Inc (Shaws Pharmacy #2541)
• Frances P Shea, LMFT
• Julia Shea, MD

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.