KEYANNI JHAMIA SHAW (NPI# 1083176275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083176275 |
| Entity Type | Individual |
| Full Name | KEYANNI JHAMIA SHAW |
| Credential | DDS |
| Practice Address |
2235 W Dekalb St Camden SC 29020-2169 |
| Mailing Address |
11409 Panhandle Rd Hampton GA 30228-1504 |
| Practice Telephone | 4045236571 |
| Mailing Telephone | 7705724915 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DGD.9664 | SC | Dental Providers |
| Street Address |
2235 W DEKALB ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989261 | Elizabeth N Himel | Dentist | 2235 W Dekalb St, Camden, SC 29020-2070 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989261 | Elizabeth N Himel | Dentist | 2235 W Dekalb St, Camden, SC 29020-2070 | 2018-04-20 |
| 1760992432 | Gracious Smiles, Inc. | Dentist | 121 Market St., Camden, NJ 08102 | 2017-10-06 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1487917001 | Taylor Donald Everett | Dentist | 604 Ja Dooley Womack Dr, Camden, AR 71701-2730 | 2012-06-19 |
| 1831330737 | Amelia Jo Dinwiddie | Dentist | 116 Vicksburg Ave, Camden, TN 38320-1614 | 2009-03-23 |
| 1376753988 | Cathy Moss | Dentist | 310 Hampton Park, Camden, SC 29020-3605 | 2007-05-23 |
| 1760609739 | Robert L. Carter | Dentist | 1436 Haddon Ave, Camden, NJ 08103-3111 | 2007-04-19 |
| 1275659120 | Hal Joseph Angeloff | Dentist | 431 Kaighns Ave, Camden, NJ 08103-2209 | 2007-03-22 |
| 1922138742 | Edna Lazetta Giles-williams | Dentist | 400 Rutledge St, Camden, SC 29020-4423 | 2007-03-07 |
| 1669513271 | Marshall I Mitchell Dds | Dentist | 142 Haynes, Camden, AR 71701 | 2007-02-08 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.