Individual provider Active NPI

Dawn Annmarie Shaw, D.D.S.

  • General Practice Dentistry
  • Landover Hills, MD
National Provider Identifier
1336158559
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11465 Issued in MD
Practice address
6827 Annapolis Rd
Landover Hills, MD 20784-2000
Phone
(301) 773-7588
Fax
(301) 773-7559
NPI assigned
Aug 5, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11465 MD Primary

Addresses

Primary practice location

6827 Annapolis Rd
Landover Hills, MD 20784-2000

Mailing address

9701 Poling Ter
Fort Washington, MD 20744-3970
Phone (301) 265-1176

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn a. Shaw DDS LLC General Practice CurrentSince Apr 25, 2021 Accepting new patients

Locations

6827 Annapolis Rd
Landover Hills, MD 20784
Phone (301) 773-7588

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1336158559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 POLING TER",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443970",
            "telephone_number": "301-265-1176",
            "fax_number": "240-607-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842000",
            "telephone_number": "301-773-7588",
            "fax_number": "301-773-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAWN",
        "middle_name": "ANNMARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.