DAVID BRIAN SHADID (NPI# 1578721726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578721726 |
| Entity Type | Individual |
| Full Name | DAVID BRIAN SHADID |
| Credential | DDS MSD |
| Practice Address |
1201 N Stonewall Ave Oklahoma City OK 73117 |
| Mailing Address |
1201 N Stonewall Ave Oklahoma City OK 73117-1214 |
| Practice Telephone | 4052715550 |
| Mailing Telephone | 4052715550 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
512734 | OK | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1008 Nw Grand Blvd, Suite A, Oklahoma City, OK 731186084 | 4058439330 | 4058484048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508934126 | David L Shadid | Psychiatry & Neurology | 4612 S Harvard, Ste A, Tulsa, OK 74135 | 2006-12-01 |
| Street Address |
1201 N STONEWALL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557452 | Tim R Fagan | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2005-06-08 |
| 1538778840 | Allison Brewer Dinse | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1922625813 | Amanda Stephanie Akkari | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1275159162 | Katherine Ann Gamble | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1255957023 | Andrew Lee Benjamin Jr. | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1295355337 | Gabriel Duffy | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-18 |
| 1558981829 | Shawn Moffett | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-16 |
| 1750933305 | Schuyler Allison Pracht | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-14 |
| 1801458385 | Jeremiah Aigbedion | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-03 |
| 1396307104 | Kathleen Alexis Higgins | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629290242 | Kim Loren Wilkinson | Dentist | 13851 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2007-05-03 |
| 1437207560 | David J Clement | Dentist | 1201 N Stonewall Ave., Ouhsc College of Dentistry, Oklahoma City, OK 73117 | 2007-01-08 |
| 1982616256 | William Lee Beasley I | Dentist | 4500 Memorial Cir, Oklahoma City, OK 73142-5003 | 2006-08-13 |
| 1952919052 | Endodontic Associates Pllc | Dentist | 4500 Memorial Cir, Oklahoma City, OK 73142-5002 | 2020-07-15 |
| 1275915126 | Suhair Jambi | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2015-06-26 |
| 1932587375 | University of Oklahoma | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2015-05-18 |
| 1619307865 | North Pointe Endodontics, Pllc | Dentist | 13851 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2013-11-24 |
| 1396901567 | Stephen G Biggs | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2008-08-06 |
| 1104084359 | Dennis Allan Leseberg | Dentist | 1008 Nw Grand Blvd, Suite A, Oklahoma City, OK 73118-6084 | 2008-05-23 |
| 1841413218 | Fred William Benenati | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2007-04-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.