W.H. Shuttlesworth D.D.S., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11133 Issued in TX

Legal business name

W.H. SHUTTLESWORTH D.D.S., INC.

Practice address

4301 Retama Cir
Victoria, TX 77901-2768

Phone

(361) 578-9031

Fax

(361) 572-3744

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By 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. William H. Shuttlesworth, DDSNPI 1487715462

Title

President

Phone

(361) 578-9031

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• William Hugh Shuttlesworth, DDS

  • Pediatric Dentistry
  • Victoria, TX
  • NPI 1487715462
  Authorized official Same address or phone

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1972819654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012768",
            "telephone_number": "361-578-9031",
            "fax_number": "361-572-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012768",
            "telephone_number": "361-578-9031",
            "fax_number": "361-572-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.H. SHUTTLESWORTH D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "SHUTTLESWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-578-9031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090248802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Chau Vo, D.O
• Kevin Bien Vo
• Kaylan Vollmering
• Khiem Quynh Vu, D.O.
• W Dennis Tobin MD PA
• Christine Renee Wachsmuth, R.PH.
• Christine Mary Wagner, LCSW
• Derrick C Wagner, FNP-C
• Donna RM Wagner, M.D.
• Erin Leigh Wagner

• Pediatric Dentistry in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.