Paul Nicholas Shahwan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25403 Issued in TX

Practice address

639 Sherry LN
Fort Worth, TX 76114-4018

Phone

(817) 737-7711

NPI assigned

May 25, 2010

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

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.

• Archstone Dental PLLC

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1245479013
  NPD (past)
• Crescent Dental PLLC

  • Dentist
  • Seguin, TX
  • NPI 1558656355
  NPD (past)
• Crescent Dental-San Marcos PLLC

  • Dentist
  • San Marcos, TX
  • NPI 1700166634
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1598084949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 STATE HIGHWAY 161",
            "address_2": "SUITE 198",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392816",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144018",
            "telephone_number": "817-737-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHWAN",
        "first_name": "PAUL",
        "middle_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Shahan, M.S.
• Dave Naresh Shahani, MD
• Keisha Mari Shaheed, DO
• Anoj Shahi
• Gabriel Shahwan, DDS
• Nawal Shaikh
• Umair Rahim Shaikh, M.D.
• Namma Shakeel, D.D.S
• Ahmed Raza Shakir, MD
• Shakti Darshan PLLC

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.