NPIMap

Organization Active NPI

Shaffer & Shaffer Family Dentistry PSC

Doing business as Barry C Shaffer DMD Bruce W Shaffer DMD

  • General Practice Dentistry
  • Ashland, KY
National Provider Identifier
1841392859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4635 Issued in KY
Legal business name
SHAFFER & SHAFFER FAMILY DENTISTRY PSC
Doing business as
Barry C Shaffer DMD Bruce W Shaffer DMD
Practice address
700 Saint Christopher Drive
Suite 202
Ashland, KY 41101
Phone
(606) 836-8162
Fax
(606) 836-1387
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barry C Shaffer, DMDNPI 1578646881
Title
President
Phone
(606) 836-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4636 KY
General Practice Dentistry 1223G0001X 4635 KY Primary

Addresses

Primary practice location

700 Saint Christopher Drive
Suite 202
Ashland, KY 41101

Mailing address

700 Saint Christopher Drive
Suite 202
Ashland, KY 41101
Phone (606) 836-8162

Other names 1

  • Barry C Shaffer DMD Bruce W Shaffer DMD Doing business as

National Provider Directory

National Provider Directory

Locations

700 Saint Christopher Dr
Ste 202
Ashland, KY 41101
Phone (606) 836-8162

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841392859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DRIVE",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-836-8162",
            "fax_number": "606-836-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DRIVE",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-836-8162",
            "fax_number": "606-836-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER & SHAFFER FAMILY DENTISTRY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-836-8162",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4636",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry C Shaffer DMD Bruce W Shaffer DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.