NPIMap

Organization Active NPI

Jeremiah Shakespear DDS PC

  • General Practice Dentistry
  • Astoria, OR
National Provider Identifier
1154763183
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9903 Issued in OR
Legal business name
JEREMIAH SHAKESPEAR DDS PC
Practice address
1775 Exchange St
Astoria, OR 97103-3508
Phone
(503) 325-3533
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Jeremiah D Shakespear, DDSNPI 1174843197
Title
President
Phone
(503) 325-3533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9903 OR Primary

Addresses

Primary practice location

1775 Exchange St
Astoria, OR 97103-3508

Mailing address

1775 Exchange St
Astoria, OR 97103-3508
Phone (503) 325-3533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1154763183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033508",
            "telephone_number": "503-325-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033508",
            "telephone_number": "503-325-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH SHAKESPEAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAKESPEAR",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-325-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.