NPIMap

Organization Active NPI

Shaw, Ely & Dubos, D.D.S., Inc.

  • Dental Clinic/Center
  • Circleville, OH
National Provider Identifier
1124407234
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30.024484 Issued in OH
Legal business name
SHAW, ELY & DUBOS, D.D.S., INC.
Practice address
1200 Lancaster Pike
Circleville, OH 43113-9400
Phone
(740) 474-1900
Fax
(740) 474-3991
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mrs. Deborah Shaw
Title
Office Manager
Phone
(740) 474-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30.024484 OH Primary

Addresses

Primary practice location

1200 Lancaster Pike
Circleville, OH 43113-9400

Mailing address

1200 Lancaster Pike
Circleville, OH 43113-9400
Phone (740) 474-1900

National Provider Directory

National Provider Directory
Tax ID family
DRS Shaw Ely Associates2 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.

Locations

1200 Lancaster Pike
Circleville, OH 43113
Phone (740) 474-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1124407234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139400",
            "telephone_number": "740-474-1900",
            "fax_number": "740-474-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139400",
            "telephone_number": "740-474-1900",
            "fax_number": "740-474-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW, ELY & DUBOS, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-474-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.024484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.