Ryan Shaw, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS037821 Issued in PA

Practice address

1600 Pacific Ave Ste 1
Natrona Heights, PA 15065-2138

Phone

(724) 224-0790

Fax

(724) 224-2136

NPI assigned

Jan 5, 2010

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaw Pediatric Dentistry P.C.

  • Pediatric Dentistry
  • Natrona Heights, PA
  • NPI 1205299278
  NPD (past) Authorized official

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1619207107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC AVE STE 1",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652138",
            "telephone_number": "724-224-0790",
            "fax_number": "724-224-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC AVE STE 1",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652138",
            "telephone_number": "724-224-0790",
            "fax_number": "724-224-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RYAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Pittsburgh/Upmc Inc
• David W. Selvig, DDS
• Ethel Reginia Sharbaugh
• Maddie Sharma, M.D.
• Shaw Pediatric Dentistry P.C.
• Heidi Leigh Shirley, LCSW
• Alivia Shoop, D.C
• Michael B Sigal, MD
• Jason Lamonte Simonson, RD ELIGIBLE
• Datar Singh, MD

• Pediatric Dentistry in Natrona Heights, PA
• Providers in Natrona Heights, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.