Christina Shaw, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30017 Issued in TX

Practice address

5114 Balcones Woods Dr
Suite 308
Austin, TX 78759-5273

Phone

(512) 346-1900

Fax

(512) 346-2272

NPI assigned

Jul 10, 2014

Last updated

Apr 1, 2015By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Jan 19, 2016 through Jan 19, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Grins Dental PLLC

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1144839390
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1447666391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 BALCONES WOODS DR",
            "address_2": "SUITE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595273",
            "telephone_number": "512-346-1900",
            "fax_number": "512-346-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 BALCONES WOODS DR",
            "address_2": "SUITE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595273",
            "telephone_number": "512-346-1900",
            "fax_number": "512-346-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTINA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Y Shau, D.D.S.
• Shave Dental PLLC
• Vida T Shaver, OTR
• Jennifer Shaw-Hegwer, SLP
• Amber Alean Shaw, LCSW
• Christopher Scott Shaw
• David Jon Shaw, MD
• Douglas Lynde Shaw, PSY.D.
• Elissa Lynn Shaw, LCSW
• Eva Shaw

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.