Individual provider Active NPI

Denise Lorraine Shaff, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1801837737
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4513 Issued in TX
Practice address
5711 Longmont LN
Houston, TX 77057-2509
Phone
(832) 477-1505
Fax
(713) 785-1557
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F4513 TX Primary

Addresses

Primary practice location

5711 Longmont LN
Houston, TX 77057-2509

Mailing address

5711 Longmont LN
Houston, TX 77057-2509
Phone (832) 477-1505

Other identifiers 1

IdentifierTypeStateIssuer
F4513OtherTXLICENCE

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1801837737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 LONGMONT LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572509",
            "telephone_number": "832-477-1505",
            "fax_number": "713-785-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 LONGMONT LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572509",
            "telephone_number": "832-477-1505",
            "fax_number": "713-785-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFF",
        "first_name": "DENISE",
        "middle_name": "LORRAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "F4513",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.