Shawn R McDevitt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00007747 Issued in WA

Practice address

307 S 11TH Ave
Yakima, WA 98902-3256

Phone

(509) 453-5568

Fax

(509) 453-5698

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Shawn R McDevitt DDS PS

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1023113990
  NPD (past) Authorized official
• Dale E Miller DDS PS

  • Dentist
  • Yakima, WA
  • NPI 1245310176
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447270772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-453-5568",
            "fax_number": "509-453-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023256",
            "telephone_number": "509-453-5568",
            "fax_number": "509-453-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "SHAWN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "00007747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023676",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi McCullough, LMP
• Donna K McCune
• Molly Rose McCusker, NP
• Kathryn A. McDaniel, RN
• Tami McDaniels, RN
• Anthony Sean McDonald, PHARMD
• Patricia Ann McDougall, RN BSN
• Kendra McDowell, MA60831846
• Elly McEachern
• Cody Ray McEdward

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• 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.