Active NPI
Paul Alan Shadid II, DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1609320035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6797
- Practice address
- 1001 SW 89TH St
Oklahoma City, OK 73139-9233 - Phone
- (405) 631-1531
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6797 | OK | Primary |
Addresses
Primary practice location
1001 SW 89TH St
Oklahoma City, OK 73139-9233
Mailing address
1001 SW 89TH St
Oklahoma City, OK 73139-9233
Phone (405) 631-1531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1609320035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399233",
"telephone_number": "405-631-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399233",
"telephone_number": "405-631-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADID",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.