Active NPI
Harry Robert Shaw, D.M.D.
- General Practice Dentistry
- Windsor Mill, MD
National Provider Identifier
1295735603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5615
- Practice address
- 7147 Security Blvd
Suite 100 Boulevard Place
Windsor Mill, MD 21244-1811 - Phone
- (410) 298-8787
- Fax
- (410) 298-0146
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5615 | MD | Primary |
Addresses
Primary practice location
7147 Security Blvd
Suite 100 Boulevard Place
Windsor Mill, MD 21244-1811
Mailing address
7147 Security Blvd
Suite 100 Boulevard Place
Windsor Mill, MD 21244-1811
Phone (410) 298-8787
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124148 | Other | EHP, JH HEALTHCARE LLC | |
| 173281 | Other | UNITED CONCORDIA HONORS | |
| 5775 | Other | MD | BLUE CROSS / BLUE SHIELD |
| 95695 | Other | DENTAL BENEFIT PROVIDERS | |
| 838342 | Other | TRICARE ACTIVE DUTY | |
| MD0101612 | Other | MONTGOMERY WARD ENTERPRIS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295735603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 SECURITY BLVD",
"address_2": "SUITE 100 BOULEVARD PLACE",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "410-298-8787",
"fax_number": "410-298-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7147 SECURITY BLVD",
"address_2": "SUITE 100 BOULEVARD PLACE",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441811",
"telephone_number": "410-298-8787",
"fax_number": "410-298-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "HARRY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "5615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EHP, JH HEALTHCARE LLC",
"identifier": "124148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA HONORS",
"identifier": "173281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "5775",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BENEFIT PROVIDERS",
"identifier": "95695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE ACTIVE DUTY",
"identifier": "838342",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTGOMERY WARD ENTERPRIS",
"identifier": "MD0101612",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.