Larry James Shaw, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008451 Issued in GA

Practice address

315 N Broad St
Winder, GA 30680-2156

Phone

(770) 867-9451

Fax

(770) 867-0951

NPI assigned

Nov 30, 2006

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

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750459608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802156",
            "telephone_number": "770-867-9451",
            "fax_number": "770-867-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802156",
            "telephone_number": "770-867-9451",
            "fax_number": "770-867-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LARRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M. Sanchez-Weiss, L.P.N.
• Charles Savage
• Ginalynn Schultz
• Valaria Shante Scott, CART
• Nirdesh Kumar Sharma, MD
• Selena Shipp
• Walker Thomas Shoaf III, M.D.
• Derrick Eugene Sims, MD
• Deberah Lee Slade, LCSW
• Courtney M Slaughter, NP

• General Practice Dentistry in Winder, GA
• Providers in Winder, GA by specialty
• General Practice Dentistry in Georgia

• 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.