Active NPI
Douglas Robert Shaw, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plano, TX
National Provider Identifier
1851789820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30541
- Practice address
- 3303 N Central Expy Ste 250
Plano, TX 75023-6912 - Phone
- (801) 230-4643
- NPI assigned
- Dec 29, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30541 | TX | Primary |
Addresses
Primary practice location
3303 N Central Expy Ste 250
Plano, TX 75023-6912
Mailing address
309 Suncreek Dr
Allen, TX 75013-2835
Phone (801) 230-4643
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 |
|---|---|---|---|
| 30541 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1851789820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 SUNCREEK DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132835",
"telephone_number": "801-230-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 N CENTRAL EXPY STE 250",
"city": "PLANO",
"state": "TX",
"postal_code": "750236912",
"telephone_number": "801-230-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DOUGLAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "30541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.