Ryan Patrick Shaw, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09776 Issued in IA

Practice address

4119 SW 9TH St
Des Moines, IA 50315-3466

Phone

(515) 281-0700

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Associates 2

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1194348144
  NPD
• Bondurant Dental Center

  • Dental Clinic/Center
  • Bondurant, IA
  • NPI 1164920286
  NPD (past)
• Kimball & Beecher Group LLC

  • General Practice Dentistry
  • Bondurant, IA
  • NPI 1881481687
  NPD (past)
• Mark J Hillman DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1407014798
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1205452877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SW 12TH ST UNIT 104",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094316",
            "telephone_number": "515-664-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153466",
            "telephone_number": "515-281-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Michelle Sharp, MD
• Nuha Shash-Barazanji, MD
• Evelyn Maureen Shaw, DO
• Morgan Shaw, DO
• Robert D. Shaw, M.D.
• Sadie Lee Shaw, ARNP
• She Psychiatry
• Kathleen Shea, OTR/L
• Teresa Scalise Sheahan, DO
• Eve Sheehan

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.