Daniel Robinett Shea, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4813 Issued in LA

Practice address

1930 Perkins Rd
Baton Rouge, LA 70808-1483

Phone

(225) 344-0391

Fax

(225) 389-9324

NPI assigned

Sep 13, 2005

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northeastern Tribal Health System

  • Clinic/Center
  • Miami, OK
  • NPI 1871522532

  TX

  Medicare reassignment NPD
• Daniel R Shea DDS LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
  • NPI 1174165799
  NPD Authorized official
• Theriot Family Dental Care-Perkins LLC

  • Dental Clinic/Center
  • Baton Rouge, LA
  • NPI 1497391841
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1548255995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081483",
            "telephone_number": "225-344-0391",
            "fax_number": "225-389-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081483",
            "telephone_number": "225-344-0391",
            "fax_number": "225-389-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DANIEL",
        "middle_name": "ROBINETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Michael Shaw, PA-C
• Lauren B Shaw, LMSW
• Maria R. Shaw
• Sandra Shaw
• Vincent Lee Shaw Jr., MD
• Thomas Shea, CIT
• Amanda Day Shealy
• Carlton H Sheely II, M.D.
• Leslie Kay Sheffield, M.D.
• Dribardha Shefkiu

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.