John Stanley Shaver, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34650 Issued in CA

Practice address

16278 Victor St
Victorville, CA 92395-3934

Phone

(760) 245-4035

Fax

(760) 245-4035

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255422002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16278 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-245-4035",
            "fax_number": "760-245-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16278 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-245-4035",
            "fax_number": "760-245-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JOHN",
        "middle_name": "STANLEY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B34650-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akhil Sharma, M.D.
• Anupama Sharma, MD
• Goldy Sharma, PA-C
• Erma Trena Jean Sharp-Davis
• Angela Shattles-Breedlove
• Robert E. Shaw, D.D.S.
• Ronald Steven Shaw, D.C.
• Sheila Cherian MD PC
• Sheila M. Bartlett a Professional Corporation
• Shelton Family Therapy, Inc.

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.