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Active NPI 1205452877 Individual Practitioner Male Practitioner

Dr. Ryan Patrick Shaw , DDS

Dentist - General Practice • Des Moines, IA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Shaw, DDS is a registered healthcare professional specializing in Dentist - General Practice in Des Moines, IA. Practice services are available at 4119 SW 9TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4119 Sw 9th St

Des Moines, IA 503153466

Telephone 5152810700
Associated Practice Facility / Clinic
🏢 Dental Associates 2 Facility NPI 1194348144

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Des Moines, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Des Moines, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-09776

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1174600837

Doctor of Dental Surgery

Dr. John Biegert , DDS

Dentist - General Practice

NPI 1720465651

Doctor of Dental Surgery

Dr. Mark Hillman , DDS

Dentist - General Practice

NPI 1942390349

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 04, 2021

Registered at 4119 SW 9TH ST, DES MOINES, IA 503153466 (Tel: 5152810700)

📍
Updated Business Mailing Address October 04, 2021

Registered at 411 SW 12TH ST UNIT 104, DES MOINES, IA 503094316 (Tel: 5156647586)

NPI Profile Active June 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2020

Registered at 108 MAIN ST NE, BONDURANT, IA 500357722 (Tel: 5159674002)

📍
Updated Business Mailing Address June 19, 2020

Registered at 3825 NW 9TH ST, ANKENY, IA 500234500 (Tel: 5156647586)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as RYAN SHAW, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Dentist (License #DDS-09776 in IA)

🟢
Initial NPI Registration & Enumeration June 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205452877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2020
Last Update: October 04, 2021
Sole Proprietor: No

Mailing Address

411 Sw 12th St Unit 104

Des Moines, IA 503094316

Phone: 5156647586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.