Nancy Jan Shaw

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

D160046146 Issued in WA

Practice address

14406 NE 20TH Ave
Vancouver, WA 98686-1448

Phone

(360) 571-3139

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1902150733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 FALK RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986615601",
            "telephone_number": "360-695-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861448",
            "telephone_number": "360-571-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NANCY",
        "middle_name": "JAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160046146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "D1 60046146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Shaver
• Hannah June Rodman Shaver, LMHC, LPC
• Candyce Shaw
• Erica Shaw, PT
• Mary Shaw, M.S., CCC-SLP
• Robert James Shaw, LDO, CPOT
• William G Shawler, MD
• Shawn P Platt DMD PLLC (Platt Prosthodontics)
• Kathleen A Shay, PHD
• Roger P Shea, MD

• Dental Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.