NPIMap

Organization Active NPI

Dr. Edward G. Shaivitz D.D.S., P.a.

  • Prosthodontics
  • Laurel, MD
National Provider Identifier
1639344732
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5236 Issued in MD
Legal business name
DR. EDWARD G. SHAIVITZ D.D.S., P.A.
Practice address
14333 Laurel Bowie Rd
Suite 306
Laurel, MD 20708-1126
Phone
(301) 490-5555
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward Gary Shaivitz, D.D.S.NPI 1093932592
Title
Owner
Phone
(301) 490-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 5236 MD Primary

Addresses

Primary practice location

14333 Laurel Bowie Rd
Suite 306
Laurel, MD 20708-1126

Mailing address

14333 Laurel Bowie Rd
Suite 306
Laurel, MD 20708-1126
Phone (301) 490-5555

National Provider Directory

National Provider Directory

Locations

14333 Laurel Bowie Rd
Ste 306
Laurel, MD 20708
Phone (301) 490-5555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1639344732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE 306",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-490-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE 306",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-490-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD G. SHAIVITZ D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SHAIVITZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-490-5555",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "5236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.