Troy R. Shaw, DMD, MS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1974 Issued in MT

Practice address

1300 S Reserve St Ste C
Missoula, MT 59801-4704

Phone

(406) 327-0777

Fax

(406) 327-8611

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689876179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S RESERVE ST STE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014704",
            "telephone_number": "406-327-0777",
            "fax_number": "406-327-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S RESERVE ST STE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014704",
            "telephone_number": "406-327-0777",
            "fax_number": "406-327-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TROY",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "DMD, MS, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shape
• Pamela Jean Shapiro, APRN
• Brian Jerome Sharkey Jr., LCPC
• Michael Shaw, PCLC
• Sidney L Shaw, LCPC
• Julene Shea, PHARMD.
• Margaret Shea, LCSW
• Eric Shedd, LMT
• John Edward Sheehan III, LCSW
• Kevin M Sheehan, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.