DR. RICHARD SHAD HATTAWAY (NPI# 1992149306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992149306 |
| Entity Type | Individual |
| Full Name | DR. RICHARD SHAD HATTAWAY |
| Other Name | DR. SHAD HATTAWAY |
| Credential | D.D.S. |
| Practice Address |
6452 Broadway Boulevard Garland TX 75043 |
| Practice Telephone | 9722266945 |
| Practice Fax Number | 9722266608 |
| Mailing Telephone | 9722266945 |
| Mailing Fax Number | 9722266608 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30158 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30-023996 | OH | Dental Providers |
| Street Address |
6452 BROADWAY BOULEVARD |
| City | GARLAND |
| State | TX |
| Zip Code | 75043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| 1053693366 | Adrina Carter | Specialist | 3615 Broadway Boulevard, Suite A, Garland, TX 75043 | 2011-09-13 |
| Find all providers in zip 75043 | ||||
| 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 |
|---|---|---|---|---|
| 1013528025 | Carly Konzelman | Dentist | 3121 N President George Bush Hwy Ste 113, Garland, TX 75040-2753 | 2020-08-12 |
| 1568023893 | Rachel Ngoc Nguyen | Dentist | 2709 Oak Point Dr, Garland, TX 75044-7811 | 2019-06-26 |
| 1033640396 | Garland Pediatric Dentistry | Dentist | 445 N Garland Ave, Garland, TX 75040-5646 | 2017-03-27 |
| 1124495189 | Moniza Munawar | Dentist | 4441 Bass Pro Dr, Garland, TX 75043-4837 | 2015-08-26 |
| 1558747196 | Seungah Hwang | Dentist | 3415 W Walnut St, Garland, TX 75042-7117 | 2015-08-05 |
| 1942617022 | Lily Hoang | Dentist | 7030 N Shiloh Rd # 200, Garland, TX 75044 | 2014-07-21 |
| 1033522537 | Hoang Minh Doan | Dentist | 2714 Forest Park Drive, Garland, TX 75040 | 2014-06-03 |
| 1235558453 | Heaton Holdings, Pllc | Dentist | 1501 West Miller Rd., Suite 180, Garland, TX 75094 | 2014-04-15 |
| 1407287931 | Curt Conrad Dds Pa | Dentist | 1215 Thomasville, Garland, TX 75044-3478 | 2013-12-10 |
| 1376972901 | Firewheel Modern Dentistry, PC | Dentist | 5129 N Garland Ave Ste 700, Garland, TX 75040-2746 | 2013-11-04 |
| Find all providers in GARLAND | ||||
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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.