Organization Active NPI

Steven S. Shaw, D.M.D., P.C.

  • Dentist
  • Portland, ME
National Provider Identifier
1730420423
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STEVEN S. SHAW, D.M.D., P.C.
Practice address
163 Pleasant Ave
Portland, ME 04103-3242
Phone
(207) 773-3794
Fax
(207) 772-1011
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Steven Scott Shaw, D.M.D.
Title
Owner
Phone
(207) 773-3794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

163 Pleasant Ave
Portland, ME 04103-3242

Mailing address

163 Pleasant Ave
Portland, ME 04103-3242
Phone (207) 773-3794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1730420423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033242",
            "telephone_number": "207-773-3794",
            "fax_number": "207-772-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033242",
            "telephone_number": "207-773-3794",
            "fax_number": "207-772-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN S. SHAW, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-773-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.