Cheng Shao Anwar PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE11005 Issued in WA

Legal business name

CHENG SHAO ANWAR PLLC

Practice address

27041 Pacific Hwy S
Des Moines, WA 98198-9250

Phone

(206) 212-4925

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David S Shao, DMD

Title

Owner

Phone

(206) 212-4925

Specialties & licenses 1

Addresses

Other names 1

• Fresh Smiles Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1720522360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27041 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "206-212-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27041 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "206-212-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENG SHAO ANWAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-212-4925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE11005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles O. Holmes DDS PS
• Laura Kathleen Chasteen, RD, MS, CN
• Angie Chen, OT
• Christine Lai Chen, MD
• Mamatha Chenepalli, DMD
• Kha Kein Cheng
• Veronica Cheverez
• Aaron K Chin
• Aja-Amina J Chinnell-Mateen, MA, LMHC, MHP
• Anastasia Chopovdya

• General Practice Dentistry in Des Moines, WA
• Providers in Des Moines, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.