James Michael Shaw, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35260 Issued in NY

Practice address

39 Elizabeth Dr
Lockport, NY 14094-5226

Phone

(716) 433-6004

NPI assigned

Oct 26, 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

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Lockport Dental Group, P.C.

  dba LDG Sleep Academy

  • General Practice Dentistry
  • Lockport, NY
  • NPI 1154482818
  NPD (past)
• Medina Dental PLLC

  dba Lockport Dental Group PC d/b/s Medina Dental Group

  • Dentist
  • Medina, NY
  • NPI 1639576697
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568547610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMBLESIDE DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943403",
            "telephone_number": "716-433-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945226",
            "telephone_number": "716-433-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobie Seyler, RN
• Nimra Shafiq, M.D.
• Sara M Shanley
• Ashutosh Sharma
• Timothy John Shaughnessy, LMSW
• Shaymal Mozumdar M.D. P.C.
• Colleen M Shelton, RPH
• Chad A Shepherd, FNP
• Tracy Sherman
• Sheryll Strong

• General Practice Dentistry in Lockport, NY
• Providers in Lockport, NY by specialty
• General Practice Dentistry in New York

• 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.
• 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.