NPIMap

Organization Active NPI

Shaw & Wiederhold PSC

  • General Practice Dentistry
  • Owensboro, KY
National Provider Identifier
1184998866
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7760 Issued in KY
Legal business name
SHAW & WIEDERHOLD PSC
Practice address
920 Frederica St
301
Owensboro, KY 42301-3050
Phone
(270) 926-7272
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Kin W Shaw, DMDNPI 1235215419
Title
President
Phone
(270) 926-7272

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 7760 KY Primary

Addresses

Primary practice location

920 Frederica St
301
Owensboro, KY 42301-3050

Mailing address

920 Frederica St
301
Owensboro, KY 42301-3050
Phone (270) 926-7272

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": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1184998866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "301",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013050",
            "telephone_number": "270-926-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "301",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013050",
            "telephone_number": "270-926-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW & WIEDERHOLD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-926-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.