Active NPI
Meghan Shackford Dawson, DO
- Obstetrics & Gynecology Physician
- Dayton, OH
National Provider Identifier
1205494739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 58.031055
- Practice address
- 1 Wyoming St
Dayton, OH 45409-2722 - Phone
- (802) 338-0875
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 77643-21 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.031055 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | 58.031055 | OH | Primary |
Addresses
Primary practice location
1 Wyoming St
Dayton, OH 45409-2722
Mailing address
128 E Apple St Ste 3800
Dayton, OH 45409-2902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77643-21 | Other | WI | MEDICAL LICENSE |
Other names 1
- Meghan Clare Shackford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77643-21 | WI | MD | Obstetrics & Gynecology Physician |
| 58.031055 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1205494739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E APPLE ST STE 3800",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "802-338-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "MEGHAN",
"middle_name": "SHACKFORD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "77643-21",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.031055",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "58.031055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "77643-21",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "SHACKFORD",
"middle_name": "CLARE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.