Jason Christopher Shirley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60806936 Issued in WA

Practice address

2103 North Division St
Joint Base Lewis-McChord, WA 98433

Phone

(253) 967-3416

NPI assigned

Nov 30, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1447764345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 83RD AVE SW APT C48",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986001",
            "telephone_number": "305-647-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 NORTH DIVISION ST",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-967-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60806936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Jay Robles Selerio, CRNA
• Teresa Ann Shelton, PA-C
• Zacchary Shepherd, CRNA
• Leah Renee Sherlock
• Emily Heeeun Shin, MD
• Raquel M Shoch, LCSW
• Bivor Shrestha, APA
• Ryan Shubat
• Casey Elizabeth Shutt-Hoblet, PT, DPT, DSC
• Dillon Santos Siebrecht

• General Practice Dentistry in Joint Base Lewis-McChord, WA
• Providers in Joint Base Lewis-McChord, 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 Nov 30, 2017; 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.