Shawn Robert Habakus, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029070L Issued in PA

Practice address

1008 Ben Franklin Hwy W
Douglassville, PA 19518-1035

Phone

(610) 385-4845

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Shawn R. Habakus, D.M.D., P.C.

  • Dental Clinic/Center
  • Douglassville, PA
  • NPI 1588781132
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124114541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BEN FRANKLIN HWY W",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181035",
            "telephone_number": "610-385-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BEN FRANKLIN HWY W",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181035",
            "telephone_number": "610-385-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAKUS",
        "first_name": "SHAWN",
        "middle_name": "ROBERT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029070L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Douglassville, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.