SHADAE PERSON (NPI# 1326578865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326578865 |
| Entity Type | Individual |
| Full Name | SHADAE PERSON |
| Other Name | SHADAE ANDERSON |
| Credential | DDS |
| Practice Address |
215 Roanoke St Christiansburg VA 24073-3025 |
| Practice Telephone | 5403810820 |
| Practice Fax Number | 5403813391 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401415686 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401415686 | VA | Dental Providers |
| Street Address |
215 ROANOKE ST |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352201 | Linda C Morrow | Obstetrics & Gynecology | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2005-11-10 |
| 1447870373 | Meredith Jean Doss | Registered Nurse | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2020-04-21 |
| 1326689951 | Whitney Chase | Social Worker | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2019-10-04 |
| 1477084325 | Erin Shaffer | Social Worker | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2017-03-22 |
| 1912447723 | Allyson Yeatts | Social Worker | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2017-02-27 |
| 1932643020 | Morgan Paige Akers | Registered Nurse | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2016-12-08 |
| 1083060529 | Pete A. Guerra | Family Medicine | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2016-05-13 |
| 1851771752 | Catherine Jean Mansdoerfer | Dentist | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2015-06-04 |
| 1003235003 | Valerie Leake | Psychologist | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2014-04-08 |
| 1043648611 | Free Clinic of The New River Valley Inc | Clinic/Center | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2013-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566639 | Jiwon Kim | Dentist | 1580 N Franklin St Ste 7, Christiansburg, VA 24073-1476 | 2017-09-07 |
| 1285806646 | Myers-iii Dental Services Inc. | Dentist | 103a College St, Christiansburg, VA 24073-2923 | 2008-03-26 |
| 1588746093 | Raymond F Munz | Dentist | 103 College St Ste B, Christiansburg, VA 24073-3058 | 2006-10-20 |
| 1912920349 | Sharlene Darcy Amacher | Dentist | 105 Akers Farm Road, Christiansburg, VA 24091-6093 | 2006-07-26 |
| 1063941375 | Jacqueline Alexandria Brown | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2017-06-08 |
| 1851771752 | Catherine Jean Mansdoerfer | Dentist | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2015-06-04 |
| 1356735054 | Bass & Kamp, Pllc | Dentist | 209 Roanoke St Ste 6, Christiansburg, VA 24073-3035 | 2015-03-20 |
| 1245534395 | Fawzia Bhavnagri | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2011-01-04 |
| 1144232968 | Jae W Park | Dentist | 114 N Franklin St, Christiansburg, VA 24073-2953 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
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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.