DR. FREDRICK ALEXANDER SHAW III (NPI# 1811006919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811006919 |
| Entity Type | Individual |
| Full Name | DR. FREDRICK ALEXANDER SHAW III |
| Credential | D.D.S. |
| Practice Address |
1500 W 38th St Ste #34 Austin TX 78731-6321 |
| Practice Telephone | 5124517491 |
| Practice Fax Number | 5124515388 |
| Mailing Telephone | 5124517491 |
| Mailing Fax Number | 5124515388 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
17867 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346787819 | Fredrick Shaw | Peer Specialist | 10333 Northwest Fwy, 216, Houston, TX 77092-8235 | 2017-01-23 |
| Street Address |
1500 W 38TH ST STE #34 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899711 | J. Steven Widner | Dentist | 1500 W 38th St, Ste 51, Austin, TX 78731-6320 | 2005-05-24 |
| 1164975348 | Leighann Austin Croft | Nurse Practitioner | 1500 W 38th St, Ste 20, Austin, TX 78731-6321 | 2016-07-25 |
| 1932558749 | Texas Spine and Pain Center Pllc | Pain Medicine | 1500 W 38th St, Suite 31, Austin, TX 78731-6321 | 2016-06-13 |
| 1275939290 | Pamela Dietrich | Nurse Practitioner | 1500 W 38th St, #20, Austin, TX 78731-6321 | 2014-11-18 |
| 1629218300 | Kellie Higgins-strickland | Psychologist | 1500 W 38th St, Suite 47, Austin, TX 78731-6321 | 2009-02-20 |
| 1174786776 | C. Mike Meek | Dentist | 1500 W 38th St, Ste 56, Austin, TX 78731-6321 | 2008-07-03 |
| 1386807980 | David Tasch | Dentist | 1500 W 38th St, Ste 56, Austin, TX 78731-6321 | 2008-07-03 |
| 1952562746 | Amber C Burgess | Dentist | 1500 W 38th St, Ste #27, Austin, TX 78731-6321 | 2008-06-24 |
| 1013178268 | J. Steven Widner, Dds, PC | Dentist | 1500 W 38th St, Suite 51, Austin, TX 78731-6321 | 2008-06-20 |
| 1285895474 | Richard G Michael | Psychologist | 1500 W 38th St, Suite 49, Austin, TX 78731-6321 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1629684402 | Ramon Noel Hernandez | Dentist | 13000 N Interstate 35 Ste 206, Austin, TX 78753-1030 | 2020-09-17 |
| 1609299544 | Lead Holdings Ltd., LLP | Dentist | 5901 Old Fredericksburg Rd, Suite D-102, Austin, TX 78749-1209 | 2014-01-29 |
| 1538380191 | William Gregory Kaylakie | Dentist | 11615 Angus Rd #113, Austin, TX 78759 | 2007-05-01 |
| 1912046780 | John Edward Farnie | Dentist | 4029 Capital of Texas Hwy So, St 109, Austin, TX 78704-7927 | 2007-02-06 |
| 1942393434 | Michael Roy Mcmordie | Dentist | 1305 W. 34th Street, Suite 202, Austin, TX 78705 | 2006-10-02 |
| 1417050493 | Charles Edward Wilkins IIi | Dentist | 5020 Burnet Rd, Austin, TX 78756-2612 | 2006-09-06 |
| 1073997854 | Ankur Dahiya | Dentist | 12335 Hymeadow Dr, Suite 250, Austin, TX 78750-1934 | 2015-07-12 |
| 1225362882 | Ernesto Carmona Jr. | Dentist | 10125 Lake Creek Pkwy, Suite A, Austin, TX 78729-1711 | 2009-09-29 |
| 1689874612 | Richard Joseph Hlista | Dentist | 7800 N Mopac Expy, Suite 260, Austin, TX 78759-8900 | 2007-07-18 |
| Find all providers in AUSTIN | ||||
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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.