Organization Active NPI

Patricia a Shipman ,DMD and Debra W Low, DMD,PA

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1942497458
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0011697 Issued in FL
Legal business name
PATRICIA A SHIPMAN ,DMD AND DEBRA W LOW, DMD,PA
Practice address
4436 NW 23Rd Ave
Gainesville, FL 32606-6507
Phone
(352) 373-4924
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Patricia Ann Shipman, DMDNPI 1134142862
Title
Co-Owner
Phone
(352) 373-4924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0011697 FL Primary
General Practice Dentistry 1223G0001X DN0010941 FL

Addresses

Primary practice location

4436 NW 23Rd Ave
Gainesville, FL 32606-6507

Mailing address

4436 NW 23Rd Ave
Gainesville, FL 32606-6507
Phone (352) 373-4924

National Provider Directory

National Provider Directory

Locations

4436 NW 23rd Ave
Gainesville, FL 32606
Phone (352) 373-4924

Practitioners & affiliated clinicians

Practitioners 1

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1942497458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066507",
            "telephone_number": "352-373-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066507",
            "telephone_number": "352-373-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A SHIPMAN ,DMD AND DEBRA W LOW, DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-373-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011697",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0010941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.