RANDALL LOREN SHAW (NPI# 1891942165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891942165 |
| Entity Type | Individual |
| Full Name | RANDALL LOREN SHAW |
| Credential | D.D.S.,M.S. |
| Practice Address |
18860 W 10 Mile Rd Southfield MI 48075-2666 |
| Mailing Address |
350 Pine Ridge Dr Bloomfield Hills MI 48304-2139 |
| Practice Telephone | 2485653331 |
| Mailing Telephone | 2489311151 |
| Mailing Fax Number | 2485942221 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13819 | MI | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29010.013819 | MI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33627 7 Mile Rd, Livonia, MI 481523077 | 2484711555 | 2484714146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922199686 | Randall Kenneth Shaw | Chiropractor | 3203 Preston Ave, Suite C, Pasadena, TX 77505-2002 | 2006-09-27 |
| 1184014250 | Randall Shaw | Recreation Therapist | 121 Shiloh Rd, Asheville, NC 28803-1626 | 2015-01-28 |
| 1437406139 | Randall F Shaw | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2012-08-13 |
| Street Address |
18860 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669520 | Sleep Apnea Center | Durable Medical Equipment & Medical Supplies | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2020-11-05 |
| 1235783176 | Salah Aldin Rajab | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2019-07-29 |
| 1659875144 | Southfield Gum Docs, LLC | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2018-03-20 |
| 1366950248 | The Best Braces Pllc | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2018-01-13 |
| 1093264731 | Southfield Kids Dentist Plc | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386854891 | Jay Victor Eagan | Dentist | 17600 West 12 Mile Road, Suite 4, Southfield, MI 48076 | 2007-05-23 |
| 1518092527 | Jana Tumpkin Mcqueen | Dentist | 29702 Southfield Rd Ste H, Southfield, MI 48076-2096 | 2007-02-22 |
| 1194861765 | Eagan Orthodontics PC | Dentist | 17600 W 12 Mile Road, Suite 4, Southfield, MI 48076-1910 | 2007-01-30 |
| 1689720153 | Howard Leslie Tingling | Dentist | 20400 W 12 Mile Rd, Southfield, MI 48076-5415 | 2007-01-26 |
| 1295335891 | Janelle Mcqueen | Dentist | 29702 Southfield Rd Ste H, Southfield, MI 48076-2096 | 2020-11-01 |
| 1356476378 | Jana Tumpkin Mcqueen D.d.s. PC | Dentist | 29702 Southfield Rd Ste H, Southfield, MI 48076-2096 | 2007-02-22 |
| 1790874287 | Richard Alan Litt | Dentist | 28411 Northwestern Hwy, Ste 225, Southfield, MI 48034-5544 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909707 | Craig Mcmullen | Dentist | 44110 W 12 Mile Rd # 100, Novi, MI 48377-2614 | 2020-10-14 |
| 1003425208 | Hsin-chuan Pan | Dentist | 120 N Bridge St Ste C, Linden, MI 48451-8823 | 2020-07-24 |
| 1720697063 | Oakland Orthodontics | Dentist | 2789 Rochester Rd, Troy, MI 48083-1920 | 2020-07-22 |
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1811511538 | Leah Marie Vernacchia | Dentist | 4299 Orchard Lake Rd # 196, West Bloomfield, MI 48323-1681 | 2020-05-29 |
| 1376163345 | Smile Doctors of Michigan PC | Dentist | 13945 Panther Dr, Dewitt, MI 48820-8506 | 2020-04-20 |
| 1306470596 | Siddiqui Orthodontics, PC | Dentist | 2211 Monroe St, Dearborn, MI 48124-3007 | 2020-02-26 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1639738743 | Orthodontics Center of Novi, PC | Dentist | 27250 Wixom Rd Ste B, Novi, MI 48374-1116 | 2019-06-12 |
| 1497218291 | Bradley J. Gauthier, Dds, Ms, PC | Dentist | 441 S Livernois Rd Ste 250, Rochester Hills, MI 48307-2586 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on RANDALL LOREN SHAW.
| 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.