Shaw Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHAW FAMILY DENTISTRY PLLC

Practice address

1515 U Street NW
Suite A1 C1
Washington DC, DC 20009

Phone

(202) 900-9006

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Yetunde Ibiyemi Patrick, DDSNPI 1225309362

Title

Dentist/Owner

Phone

(202) 900-9006

Specialties & licenses 1

Addresses

Other names 1

• U Street Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yetunde Ibiyemi Patrick, DDS

  • Dentist
  • Washington, DC
  • NPI 1225309362
  NPD (past) Authorized official

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1477052272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 U ST NW STE A1C1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093948",
            "telephone_number": "202-900-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 U STREET NW",
            "address_2": "SUITE A1 C1",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-900-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_middle_name": "IBIYEMI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "202-900-9006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U Street Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario Rodriguez
• Anudeep Sathyanarayan
• Kathryn Scalfari, LCSW-C
• Sharron Andrea' Seegers, CNA, HHA
• Muslimah Annjinnah Shaffi
• Tarun Shetty
• Svetlana Sidilkovskaia, DPT
• Carl Siegel, PHD
• Tyrone Sims
• Sirrah Smith Jr.

• Dentist in Washington DC, DC
• Providers in Washington DC, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.