Organization Active NPI

Shannon Sawyer DMD, Inc.

  • Pediatric Dentistry
  • Lynchburg, VA
National Provider Identifier
1164860839
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401412529 Issued in VA
Legal business name
SHANNON SAWYER DMD, INC.
Practice address
7802 Timberlake Rd
Lynchburg, VA 24502-2602
Phone
(434) 239-6948
Fax
(434) 239-9158
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Shannon Sawyer, DMD
Title
Owner
Phone
(804) 687-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401412529 VA Primary

Addresses

Primary practice location

7802 Timberlake Rd
Lynchburg, VA 24502-2602

Mailing address

7802 Timberlake Rd
Lynchburg, VA 24502-2602
Phone (434) 239-6948

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1164860839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022602",
            "telephone_number": "434-239-6948",
            "fax_number": "434-239-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022602",
            "telephone_number": "434-239-6948",
            "fax_number": "434-239-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON SAWYER DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-687-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.