Shawna Jeanett Downs, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

BLDG 171
4TH & Inner Loop Road
Fort Irwin, CA 92310

Phone

(719) 526-5537

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shawna Jeanett Crockett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1770095093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 INNER LOOP ROAD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 171",
            "address_2": "4TH & INNER LOOP ROAD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "719-526-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "SHAWNA",
        "middle_name": "JEANETT",
        "name_prefix": "Ms.",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "CROCKETT",
            "middle_name": "JEANETT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan A Domengeaux, PT
• Francisco Cesar Dominicci, RN, BSN
• Johelen Erika Dominicci, RN
• Crystal G Donders, DO
• Elia Donnelly, LCSW
• Dr Caroline Z Kristo PHD
• Dr. Mary E. Walker Center
• Sarah Elizabeth Dugan, RN
• Adam Bailey Duncan, DO
• Leila Durant

• Dental Assistant in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.