NPIMap

Organization Active NPI

Shawana Patterson, DDS, PA

Doing business as Patterson Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • High Point, NC
National Provider Identifier
1356699094
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
9248 Issued in NC
Legal business name
SHAWANA PATTERSON, DDS, PA
Doing business as
Patterson Oral and Maxillofacial Surgery
Practice address
801 Phillips Ave Ste 105
High Point, NC 27262-7293
Phone
(336) 812-3104
Fax
(336) 812-3105
NPI assigned
Aug 28, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Shawana N Patterson, DDSNPI 1083876189
Title
Ceo
Phone
(202) 607-1535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 9248 NC Primary

Addresses

Primary practice location

801 Phillips Ave Ste 105
High Point, NC 27262-7293

Mailing address

801 Phillips Ave Ste 105
High Point, NC 27262-7293
Phone (336) 812-3104

Other names 1

  • PATTERSON ORAL AND MAXILLOFACIAL SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

801 Phillips Ave
Ste 105
High Point, NC 27262
Phone (336) 812-3104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1356699094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PHILLIPS AVE STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627293",
            "telephone_number": "336-812-3104",
            "fax_number": "336-812-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PHILLIPS AVE STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627293",
            "telephone_number": "336-812-3104",
            "fax_number": "336-812-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWANA PATTERSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SHAWANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-607-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSON ORAL AND MAXILLOFACIAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.