J W Shaddix Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9159 Issued in TX

Practice address

1204 Thomasville Court
Garland, TX 75044

Phone

(972) 414-4000

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Thomas a Reed DDS PA

  • General Practice Dentistry
  • Garland, TX
  • NPI 1013584077
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1932320033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 THOMASVILLE COURT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "972-414-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 THOMASVILLE COURT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "972-414-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADDIX",
        "first_name": "J",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Connections of Texas, PLLC
• Donald F Senter, M.D.
• Serenity Home Health
• Terry W. Sergison, P.T.
• Leah Seyom-Tesfa I
• Corey David Shaffer
• Amy Shah
• Behram Shah, D.M.D.
• Charmi Shah
• Deepak I Shah

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.