Cathy Berry Shaw

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.019277 Issued in OH

Practice address

3585 Wendleton LN
Beavercreek, OH 45432-2753

Phone

(937) 426-8083

NPI assigned

Oct 26, 2009

Sex

Female

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

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.

• Jon R. Ewig, DDS, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beavercreek, OH
  • NPI 1982650560
  NPD (past)
• Miami Valley Oral Surgery and Dental Implants LLC

  dba Cudney and Ingoldsby Oral Surgery and Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Beavercreek, OH
  • NPI 1174393060
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1881920932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 STUTSMAN RD",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453059792",
            "telephone_number": "937-912-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 WENDLETON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322753",
            "telephone_number": "937-426-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY SHAW",
        "first_name": "CATHY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.019277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Berger
• Dene S Berman, PSYCHOLOGIST PHD
• Robert Bernhard Jr.
• Cella Bernier, DPT
• Tia Rochelle Berry Kinsey, C.C.M.A
• Benjamin K Bertsche
• Taylor Nicole Best, RBT
• Bryon Richard Betsinger
• Jerome Bey IV, MD
• Bradley Carter Beyers

• Oral and Maxillofacial Surgery (Dentist) in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.