Frederick W Shave, DDS FAGD

Primary specialty

DentistTaxonomy code 122300000X

License

9949 Issued in TX

Practice address

1212 N Josey Lane Suite 238
Carrollton, TX 75006-6104

Phone

(972) 418-8461

Fax

(972) 418-8462

NPI assigned

Aug 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497865265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N JOSEY LANE SUITE 238",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066104",
            "telephone_number": "972-418-8461",
            "fax_number": "972-418-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N JOSEY LANE SUITE 238",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066104",
            "telephone_number": "972-418-8461",
            "fax_number": "972-418-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVE",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "742487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D09949",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hibah Shamsi, B.S.
• Karen Patricia Shanahan, CRNA
• Lindsey Sharber
• Sharon Gayle Counseling
• Sharon Gayle Counseling, LLC
• Leah Ann Shaw, RDN,LD
• Randi Susan Shaw, MA, LMFT
• Richard E Sheen, LMSW
• Sheetal Bhaga Patel O.D., PLLC
• Jon M Shepard, L.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.