Joi D'Antoinette Shaw, D.M.D., M.S.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23758 Issued in TX

Practice address

3939 Washington Ave
Suite 240
Houston, TX 77007-5603

Phone

(713) 863-7336

Fax

(713) 863-7606

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

Yes

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

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.

• Pinnacle Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1558663260
  NPD (past) Authorized official

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1477700482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 WASHINGTON AVE",
            "address_2": "SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075603",
            "telephone_number": "713-863-7336",
            "fax_number": "713-863-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 WASHINGTON AVE",
            "address_2": "SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075603",
            "telephone_number": "713-863-7336",
            "fax_number": "713-863-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOI",
        "middle_name": "D'ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Babina Shaw
• Freddrick Douglass Shaw, D.C.
• Fredrick Shaw
• Janine Ann Shaw, PH.D.
• Jhdore Dovion Shaw
• Katherine Elizabeth Shaw, CRNA
• Leah Katherine Shaw, MSN, RN, AGPCNP-BC
• Lela Shaw
• Nayaka Shaw
• Patrice Miller Shaw, DNP, APRN, FNP-C

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.