DAVID SHAFER (NPI# 1528065992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528065992 |
| Entity Type | Individual |
| Full Name | DAVID SHAFER |
| Credential | DMD |
| Practice Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Mailing Address |
263 Farmington Ave Provider Enrollment Farmington CT 06030-2212 |
| Practice Telephone | 8606793300 |
| Practice Fax Number | 8606791099 |
| Mailing Telephone | (860) 679-7503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
007624 | CT | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 007624 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 002076249 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932641719 | David Benjamin Shafer | Interpreter | 1320 Yuba St Ste 209, Redding, CA 96001-1057 | 2016-11-10 |
| 1790706638 | David Paul Shafer | Dentist | 142 E D St, Benicia, CA 94510-3223 | 2006-07-23 |
| 1376769471 | David Allan Shafer | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2007-04-17 |
| 1467410852 | David Luther Shafer | Family Medicine | 1491 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2006-05-03 |
| 1922078468 | David M Shafer | Plastic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-26 |
| 1700868866 | David R Shafer | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-11-15 |
| Street Address |
263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195975 | Norman J Cavanagh | Oral & Maxillofacial Surgery | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411372 | Robert A Rossetti | Oral & Maxillofacial Surgery | 76 Palomba Drive, Enfield, CT 06082 | 2010-02-08 |
| 1992916787 | Associated Oral and Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 107 Newtown Rd., Suite 1a, Danbury, CT 06810 | 2007-05-24 |
| 1699890723 | Philip Flemming Pacelli IIi | Oral & Maxillofacial Surgery | 166 Cherry Street, Suite A, New Canaan, CT 06840 | 2007-03-20 |
| 1497838056 | Steven Reiner | Oral & Maxillofacial Surgery | 80 S Main Street, Middletown, CT 06457 | 2006-10-24 |
| 1982616074 | Louis Vincent Theodos | Oral & Maxillofacial Surgery | 52 Federal Rd Ste 2a, Danbury, CT 06810-6162 | 2006-08-13 |
| 1326062738 | Roger A Lowlicht | Oral & Maxillofacial Surgery | 185 Maple Ave, North Haven, CT 06473 | 2006-07-27 |
| 1447202593 | Robert A Rossetti Dmd Md PC | Oral & Maxillofacial Surgery | 76 Palamba Drive, Enfield, CT 06082 | 2006-05-17 |
| 1629038062 | John R Kashmanian Dmd PC | Oral & Maxillofacial Surgery | 15 A Searles Rd, Pomfret Center, CT 06259 | 2006-03-27 |
| 1578540043 | Ralph Szilagyi | Oral & Maxillofacial Surgery | 25 Weston Rd, Westport, CT 06880 | 2005-12-27 |
| 1336133446 | Richard J Martin | Oral & Maxillofacial Surgery | 159 Sachem St, Norwich, CT 06360-4144 | 2005-09-02 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on DAVID SHAFER.
| 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.