Organization Active NPI

Dawn a. Shaw DDS LLC

  • General Practice Dentistry
  • Landover Hills, MD
National Provider Identifier
1730761404
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAWN A. SHAW DDS LLC
Practice address
6827 Annapolis Road
Landover Hills, MD 20784-2000
Phone
(301) 773-7588
Fax
(240) 607-6620
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mr. Andrew N Shaw
Title
Executive Manager
Phone
(240) 475-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6827 Annapolis Road
Landover Hills, MD 20784-2000

Mailing address

9701 Poling Terrace
Fort Washington, MD 20744-3970
Phone (240) 475-2331

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL iCloud Direct

National Provider Directory

National Provider Directory

Locations

6827 Annapolis Rd
Landover Hills, MD 20784
Phone (301) 773-7588

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1730761404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 POLING TERRACE",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443970",
            "telephone_number": "240-475-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 ANNAPOLIS ROAD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842000",
            "telephone_number": "301-773-7588",
            "fax_number": "240-607-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN A. SHAW DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "240-475-2331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "iCloud",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6827 ANNAPOLIS ROAD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207842000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Landover Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.