Active NPI
Shawn Faust, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Havertown, PA
National Provider Identifier
1467514653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS036232
- Practice address
- 1621 E Darby Rd
Havertown, PA 19083-3705 - Phone
- (610) 446-8000
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22D102271100 | NJ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS036232 | PA | Primary |
Addresses
Primary practice location
1621 E Darby Rd
Havertown, PA 19083-3705
Mailing address
1035 Spruce St Apt 202
Philadelphia, PA 19107-6722
Phone (267) 257-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102271100 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DS036232 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1467514653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 SPRUCE ST APT 202",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076722",
"telephone_number": "267-257-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 E DARBY RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833705",
"telephone_number": "610-446-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "SHAWN",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22D102271100",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS036232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.