John Pearson Shaw, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5993 Issued in OR

Practice address

7717 SW 34TH Ave
Portland, OR 97219-1725

Phone

(503) 246-2564

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Multnomah Village Dental Care

  • General Practice Dentistry
  • Portland, OR
  • NPI 1790037182
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770535494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NW SKYLINE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296810",
            "telephone_number": "503-297-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 SW 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-246-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOHN",
        "middle_name": "PEARSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corie Shaw
• David Allen Shaw, PH.D.
• Emily Shaw
• Jasmine Olivia Shaw
• Jennifer Shaw, PHARM.D.
• Jonathan Glazer Shaw, M.D.
• Kelli Shaw
• Kelly Corey Shaw, LAC
• Kristin Shaw, MD
• Liliana Shaw

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.