Active NPI
Shawn Dunn Blagowsky, D.D.S.
- Dentist
- Richardson, TX
National Provider Identifier
1770906976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16685
- Practice address
- 1778 N Plano Rd Ste 208
Richardson, TX 75081-1962 - Phone
- (972) 690-0008
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16685 | TX | Primary |
Addresses
Primary practice location
1778 N Plano Rd Ste 208
Richardson, TX 75081-1962
Mailing address
3617 Smoothstone Dr
Plano, TX 75074-1604
Phone (972) 754-6397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16685 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1770906976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 SMOOTHSTONE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750741604",
"telephone_number": "972-754-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1778 N PLANO RD STE 208",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750811962",
"telephone_number": "972-690-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAGOWSKY",
"first_name": "SHAWN",
"middle_name": "DUNN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.