Individual provider Active NPI

Shawn P Platt, DMD

  • Prosthodontics
  • Vancouver, WA
National Provider Identifier
1689197808
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
60833737 Issued in WA
Practice address
1300 Esther St Ste 101
Vancouver, WA 98660-2890
Phone
(360) 693-4701
Fax
(360) 993-5299
NPI assigned
Jul 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32798 TX
Prosthodontics 1223P0700X 60833737 WA Primary

Addresses

Primary practice location

1300 Esther St Ste 101
Vancouver, WA 98660-2890

Mailing address

5715 Charlie Chan Dr
San Antonio, TX 78240-2310
Phone (503) 989-1717

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

State licenses

LicenseStateTypeSpecialty
32798TXMDDentist
60833737WAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn P Platt DMD PLLC Prosthodontics CurrentSince Dec 29, 2024 Accepting new patients

Locations

1300 Esther St
Ste 101
Vancouver, WA 98660
Phone (360) 693-4701

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1689197808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CHARLIE CHAN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402310",
            "telephone_number": "503-989-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ESTHER ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602890",
            "telephone_number": "360-693-4701",
            "fax_number": "360-993-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "SHAWN",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32798",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "60833737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.