Active NPI
David G Shapnick, M.D.
- Ophthalmology Physician
- Butte, MT
National Provider Identifier
1245280205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7021
- Practice address
- 401 S Alabama St
Butte, MT 59701-2315 - Phone
- (406) 782-3808
- Fax
- (406) 782-3802
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 7021 | MT | Primary |
Addresses
Primary practice location
401 S Alabama St
Butte, MT 59701-2315
Mailing address
305 Aspen Way
Butte, MT 59701-3992
Phone (406) 782-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065790 | Medicaid | MT |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7021 | MT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1245280205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ASPEN WAY",
"city": "BUTTE",
"state": "MT",
"postal_code": "597013992",
"telephone_number": "406-782-3808",
"fax_number": "406-782-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S ALABAMA ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012315",
"telephone_number": "406-782-3808",
"fax_number": "406-782-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPNICK",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "7021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065790",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.