Gayle Denise Shaffer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4439 Issued in AL

Practice address

BLDG H 2005 Knight Lane
Navy Medicine Support Command Attn: Medical Staff SVCS
Jacksonville, FL 32212-0140

Phone

(760) 725-5208

Fax

(760) 763-6510

NPI assigned

Dec 14, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• United States Navy

  • Dentist
  • Jacksonville, FL
  • NPI 1306395280
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1437134269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 CHATEAU SAINT JEAN",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920036100",
            "telephone_number": "760-631-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG H 2005 KNIGHT LANE",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "760-725-5208",
            "fax_number": "760-763-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "GAYLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Shaeffer, DMD
• Winston Shaeffer, D.M.D.
• Shafer Chiropractic Clinic Inc
• Erich Ernest Shafer, D.C.0
• Amanda Lea Shaffer, PMHNP-BC, MSN, RN
• Kara J Shaffer, PA-C
• Anjali Shah Patel, OD
• Andrea Ellen Clark Shah, M.D.
• Antra Jignesh Shah
• Atif A Shah, MD

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.