NPIMap

Organization Active NPI

Delynn M. Shattuck, DDS, PC

  • Dentist
  • Saginaw, MI
National Provider Identifier
1770081630
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DELYNN M. SHATTUCK, DDS, PC
Practice address
5382 Gratiot Rd
Saginaw, MI 48638-6035
Phone
(989) 790-3400
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Willard Earl Shattuck
Title
Vice President
Phone
(989) 790-3400

Specialties & licenses 1

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

Addresses

Primary practice location

5382 Gratiot Rd
Saginaw, MI 48638-6035

Mailing address

5382 Gratiot Rd
Saginaw, MI 48638-6035
Phone (989) 790-3400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1770081630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386035",
            "telephone_number": "989-790-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5382 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386035",
            "telephone_number": "989-790-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELYNN M. SHATTUCK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "SHATTUCK",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-790-3400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.