Active NPI
Richard J Shawn, DMD
- General Practice Dentistry
- Morganton, NC
National Provider Identifier
1962671933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4736
- Practice address
- 500 Burkemont Ave
Morganton, NC 28655-4410 - Phone
- (828) 438-2880
- Fax
- (828) 430-7668
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4736 | NC | Primary |
Addresses
Primary practice location
500 Burkemont Ave
Morganton, NC 28655-4410
Mailing address
500 Burkemont Ave
Morganton, NC 28655-4410
Phone (828) 438-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4736 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1962671933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BURKEMONT AVE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554410",
"telephone_number": "828-438-2880",
"fax_number": "828-430-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BURKEMONT AVE",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554410",
"telephone_number": "828-438-2880",
"fax_number": "828-430-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWN",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.