DR. CONNIE J. SHAW (NPI# 1154567956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154567956 |
| Entity Type | Individual |
| Full Name | DR. CONNIE J. SHAW |
| Credential | D.D.S. |
| Practice Address |
5a Lincoln Ave Eldridge IA 52748 |
| Practice Telephone | 5632858566 |
| Mailing Telephone | 5632858566 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6190 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336627652 | Connie L Shaw | Registered Nurse | 125 Maple Hollow Rd, Duncansville, PA 16635-7920 | 2018-07-30 |
| 1003839804 | Connie Ann Shaw | Nurse Practitioner | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2006-07-25 |
| Street Address |
5A LINCOLN AVE |
| City | ELDRIDGE |
| State | IA |
| Zip Code | 52748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089025 | Gerard Chiropractic | Chiropractor | 112 West Davenport St Unit 1, Eldridge, IA 52748 | 2015-07-29 |
| 1447434121 | Clinton Back and Neck Care Center, PC | Chiropractor | 616 Parkview Place, Eldridge, IA 52748 | 2007-12-18 |
| 1174716542 | Grand Haven LLC | Assisted Living Facility | 201 East Franklin St, Eldridge, IA 52748 | 2007-08-20 |
| 1770624124 | Heather Ann Nelson Jordahl | Chiropractor | 224 North 2nd St, Eldridge, IA 52748 | 2007-02-09 |
| 1861434391 | North Scott Pharmacy Inc | Pharmacy | 225 E Leclaire Rd, Eldridge, IA 52748 | 2006-06-11 |
| 1871571224 | Richard R Ripperger | Orthopaedic Surgery | 27005 Glynns Creek Ct, Eldridge, IA 52748 | 2006-01-05 |
| 1154818847 | Chizek Family Eyecare Inc | Optometrist | 251 N 6th Ave, Eldridge, IA 52748 | 2018-04-18 |
| 1821510314 | So Young Park | Dentist | 100 S 4th St, Unit 2, Eldridge, IA 52748 | 2017-07-17 |
| 1427099605 | Julie A Schrad-swank | Chiropractor | 1120 W Davies St, Eldridge, IA 52748-1064 | 2006-06-09 |
| 1467573246 | Jennifer Ann Mccabe | Speech-Language Pathologist | 1121 W Maple St, Eldridge, IA 52748-1091 | 2007-04-02 |
| Find all providers in zip 52748 | ||||
| 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 |
|---|---|---|---|---|
| 1114071677 | Park View Dental Assoc PC | Dentist | 5 A Lincoln Ave, Eldridge, IA 52748-9699 | 2007-01-22 |
| 1588821656 | Eldridge Family Dentistry | Dentist | 201 N 6th Ave, Eldridge, IA 52748-1759 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545959 | Melika Farshad | Dentist | 1810 N Coral St Ste A, Coralville, IA 52241-7607 | 2020-07-20 |
| 1881212330 | Husein Barodawala | Dentist | 3432 Dodge St Ste 102, Dubuque, IA 52003-5254 | 2020-07-10 |
| 1891312955 | Daniel Van Roekel | Dentist | 950 28th Ave Sw Ste 2, Altoona, IA 50009-3940 | 2020-07-06 |
| 1770100505 | Ellen Leigh Hart | Dentist | 2616 Diamondwood Dr, Cedar Rapids, IA 52403-1518 | 2020-06-27 |
| 1760007850 | Layton Fritsch | Dentist | 4090 21st Ave Sw, Cedar Rapids, IA 52404-6308 | 2020-06-15 |
| 1235763830 | Michael Jeffrey Crew | Dentist | 806 S Duff Ave, Ames, IA 50010-6823 | 2020-02-24 |
| 1467006122 | Ankeny Smiles, LLC | Dentist | 225 Se Oralabor Rd Ste 3, Ankeny, IA 50021-9118 | 2019-07-30 |
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1932769635 | Grant Mccaulley | Dentist | 1540 High St Ste 201, Des Moines, IA 50309-3112 | 2019-06-17 |
| 1770143596 | Applewhite Dental Iowa PC | Dentist | 600 E 17th St S Ste A, Newton, IA 50208-4094 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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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.