TY SHAFER DDS PA (NPI# 1316229271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316229271 |
| Entity Type | Organization |
| Organization Name | TY SHAFER DDS PA |
| Other Organization Name | SHAFER DENTAL |
| Practice Address |
311 W. Southlake Blvd. Suite 100 Southlake TX 76092 |
| Practice Telephone | 8174162228 |
| Practice Fax Number | 8174210408 |
| Mailing Telephone | 8174162228 |
| Mailing Fax Number | 8174210408 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | DR. TY SHAFER (OWNER) |
| Authorized Official Telephone | 8174162228 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21301 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Shafer Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457502429 | Ty Shafer Dds Pa | Dentist | 2000 E Highway 114, Southlake, TX 76092-6514 | 2008-10-08 |
| Street Address |
311 W. SOUTHLAKE BLVD. SUITE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1285190777 | Smile Brite Dental & Orthodontics | Dentist | 113 River Oaks Dr, Southlake, TX 76092-6793 | 2019-02-20 |
| 1306332283 | Great Night Sleep Company LLC | Dentist | 1309 Avon Ter, Southlake, TX 76092-9509 | 2018-07-03 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| 1770990194 | Hardik Chodavadia | Dentist | 1025 Carroll Meadows Ct, Southlake, TX 76092-3830 | 2014-07-17 |
| 1598185928 | Reid Darnell Dds Pllc | Dentist | 1202 Brazos Dr, Southlake, TX 76092-6021 | 2014-04-24 |
| 1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
| 1245671742 | Ideal Dental of Southlake, Pllc | Dentist | 2645 E Southlake Blvd, Suite 150, Southlake, TX 76092 | 2013-07-12 |
| 1003157694 | Sohn Dental, PC | Dentist | 165 Stonebridge Ln, Suite 100, Southlake, TX 76092 | 2013-03-07 |
| 1326318767 | Victoria C Heron | Dentist | 200 E Southlake Blvd Ste 30, Southlake, TX 76092-6239 | 2012-01-03 |
| 1790094571 | Kurt Calender Dmd, Pa | Dentist | 2001 W Southlake Blvd Ste 115, Southlake, TX 76092-6749 | 2010-09-28 |
| Find all providers in SOUTHLAKE | ||||
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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.