Shane Drew

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011462 Issued in AZ

Practice address

1821 N Trekell Rd Ste 9
Casa Grande, AZ 85122-1705

Phone

(520) 374-2400

Fax

(520) 836-7469

NPI assigned

Jun 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Drew Dentistry PLLC

  • Dental Clinic/Center
  • Casa Grande, AZ
  • NPI 1679264923
  NPD Authorized official
• Drew Dentistry

  • Dental Clinic/Center
  • Lakewood, WA
  • NPI 1376252916
  NPD (past) Authorized official
• Jun Carrington DMD PLLC

  • General Practice Dentistry
  • Lakewood, WA
  • NPI 1558229583
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1225443336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE 9",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-374-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE 9",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-374-2400",
            "fax_number": "520-836-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60477540",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karthik Donuur, M.D.
• Dr. Castro & Associates, PC
• Dr. Franklin H Baroi, PC (Franklin H Baroi, M.D.)
• Dr. Jeffrey D Mitchell LLC
• Drew Dentistry PLLC
• Katharine Eakin, PHD
• Early Intervention Infant Toddler Program Inc
• Early Interventions, LLC.
• East Valley Gastroenterology & Hepatology
• East Valley Infectious Diseases LLC

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.