Gary D. Shue, D.D.S. Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OH16952 Issued in OH

Legal business name

GARY D. SHUE, D.D.S. INC

Practice address

229 N Court St
Circleville, OH 43113-1607

Phone

(740) 474-2485

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary D. ShueNPI 1225160815

Title

Dentist

Phone

(740) 474-2485

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Gary Dennis Shue, D.D.S.

  • General Practice Dentistry
  • Circleville, OH
  • NPI 1225160815
  NPD (past) Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1942587241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131607",
            "telephone_number": "740-474-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. SHUE, D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "SHUE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "740-474-2485",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH16952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailee Mishelle Gardner
• Kimberly Dawn Garrett
• Leslie Garrett
• Mallorie Dennelle Garrett, CDCA
• Kyle Gartner, CDCA
• Wendy Dawn Gearhart, OP.012976-S
• Joseph William George Jr., MD
• Sydney L George
• Varun George, DO
• Micheal Geron

• General Practice Dentistry in Circleville, OH
• Providers in Circleville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.