Mark Shaw, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401415192 Issued in VA

Practice address

15 Gosnell Xing
Staunton, VA 24401-6297

Phone

(540) 213-2244

NPI assigned

Jul 7, 2014

Last updated

Aug 30, 2016By the provider in NPPES

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

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

• Virginia Sedation LLC

  • Pediatric Anesthesiology Physician
  • Staunton, VA
  • NPI 1366308660
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1245646637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GOSNELL XING",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016297",
            "telephone_number": "540-213-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GOSNELL XING",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016297",
            "telephone_number": "540-213-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401415192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sgroi
• Dhara Shailesh Shah, O.D
• Shannon Payne LCSW
• Thomas A Shapcott, M.D.
• Matthew P Shapiro, M.D.
• Marlene Anne Shaw, F.N.P.
• Scott Sheffield, PTA
• Shenandoah Counseling Associates, P. C.
• Shenandoah Dermatology, P.C.
• Shenandoah Valley Home Health, Inc

• Pediatric Dentistry in Staunton, VA
• Providers in Staunton, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.