DR. PAUL RICHARD SHAMAN (NPI# 1689987844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689987844 |
| Entity Type | Individual |
| Full Name | DR. PAUL RICHARD SHAMAN |
| Credential | D.D.S. |
| Practice Address |
9674 South Run Oaks Dr. Fairfax Station VA 22039-2629 |
| Practice Telephone | 7036433041 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
6663 | MD | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN12279 | MA | Dental Providers |
| Street Address |
9674 SOUTH RUN OAKS DR. |
| City | FAIRFAX STATION |
| State | VA |
| Zip Code | 22039-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114317468 | Trinh Tran | Pharmacist | 9061 Emma Ann Way, Fairfax Station, VA 22039 | 2015-01-26 |
| 1629338975 | Stephen Paul Boglarski | Dentist | 8300 Tabor Lane, Fairfax Station, VA 22039 | 2012-05-21 |
| 1932202181 | Christopher Charles Virusky | Chiropractor | 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 | 2006-09-06 |
| 1366425415 | Margaret Montgomer Jones | Registered Nurse | 8133 Rondelay Ln, Fairfax Station, VA 22039 | 2005-11-22 |
| 1831647239 | Fairfax Internal Medicine and Primary Care PC | Clinic/Center | 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 | 2016-09-14 |
| 1750535274 | Catherine M. Janus | Physical Therapist | 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 | 2008-11-11 |
| 1790810547 | Ignaz P Jarbadan Md PC | Internal Medicine | 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 | 2007-02-22 |
| 1548549413 | Roy D. Novick | Dentist | 5616g Ox Rd, Fairfax Station, VA 22039-1018 | 2011-08-10 |
| 1043510639 | Jessica May Cantu-lane | Physical Therapy Assistant | 5618h Ox Rd, Fairfax Station, VA 22039-1018 | 2010-10-28 |
| 1396937553 | Larmour Chiropractic, Inc. | Chiropractor | 5616f Ox Rd, Fairfax Station, VA 22039-1018 | 2007-08-13 |
| Find all providers in zip 22039 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFAX STATION |
| Zip Code | 22039 |
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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.