George Elwood Shaffer, DMD,FICD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AS 0466 Issued in AK

Practice address

306 Main St
#202
Ketchikan, AK 99901-6430

Phone

(907) 225-9439

Fax

(907) 247-9430

NPI assigned

Jun 14, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134323983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "address_2": "#202",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016430",
            "telephone_number": "907-225-9439",
            "fax_number": "907-247-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "address_2": "#202",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016430",
            "telephone_number": "907-225-9439",
            "fax_number": "907-247-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "GEORGE",
        "middle_name": "ELWOOD",
        "credential": "DMD,FICD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AS 0466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Schwartz, MD
• Renee Danielle Schwartz, LPC, RPT
• Steffani Rae Schwierking
• Monika Seludo
• Serenity Health & Wellness, LLC
• Ahmad I Shafi, M.D.
• Michael Sheflo, D.O.
• Roman Shepard
• Rebecca E Shern, R.D.
• Mark James Sherrard

• General Practice Dentistry in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• General Practice Dentistry in Alaska

• 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.