Nicholas Jon Shawd, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SD M993 Issued in SD

Practice address

725 E Kevin Dr
Suite 101
Tea, SD 57064-2070

Phone

(605) 498-5907

Fax

(605) 498-9147

NPI assigned

Aug 2, 2006

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

Enrolled in SD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Nicholas J. Shawd D.D.S., P.C.

  • General Practice Dentistry
  • Tea, SD
  • NPI 1508078684
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356358030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E KEVIN DR",
            "address_2": "SUITE 101",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642070",
            "telephone_number": "605-498-5907",
            "fax_number": "605-498-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E KEVIN DR",
            "address_2": "SUITE 101",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642070",
            "telephone_number": "605-498-5907",
            "fax_number": "605-498-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWD",
        "first_name": "NICHOLAS",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "SD M993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilly Pharmacy LLC (Medicap Pharmacy)
• Corey P Rothrock, MD
• Sanford Medical Center (Lewis Drug #13)
• Jodi M Schnider, MA
• Jaici Schultz
• Shift, LLC
• Nicole Rae Shoup, DPT
• Silver Lining Behavioral Health and Psychiatry, PLLC
• Parker Smith, CNP
• Sadie Marie Stahl, CSW

• General Practice Dentistry in Tea, SD
• Providers in Tea, SD by specialty
• General Practice Dentistry in South Dakota

• 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.