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Deactivated NPI 1710006564 Deactivated / Inactive NPI Male Practitioner

Dr. Kim R. Shaffer , DDS

Dentist - General Practice • Butler, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kim Shaffer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2007
NPI Deactivation Date May 15, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kim Shaffer, DDS was a registered Dentist - General Practice practicing in Butler, PA. Throughout an active medical career spanning 17 years, Dr. Shaffer provided care at the practice location at 325 NEW CASTLE RD until profile deactivation on 2024-05-15.

Practice Location & Contact Primary Location

Practice Address

325 New Castle Rd

Butler, PA 160012480

Telephone 7242874781
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Butler, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Butler, PA (4936 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS015234L

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

40 Associated Practitioners
Dr. Leigh Cagni , DMD

Dentist - General Practice

NPI 1003078239

Doctor of Dental Medicine

NPI 1013178987

Registered Nurse, Bachelor of Science in Nursing

Jerri-Janelle Rayburg , PHMNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013834878

PHMNPBC

Joyce Panella , RN

Registered Nurse

NPI 1023118742

Registered Nurse

NPI 1023127768

Doctor of Audiology

NPI 1023344686

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2024

Record deactivated on May 15, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 325 NEW CASTLE RD, BUTLER, PA 160012480 (Tel: 7242874781)

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Updated Business Mailing Address July 08, 2007

Registered at 148 MERRITT DR, BUTLER, PA 160012623

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Provider Name / Credentials Updated July 08, 2007

Recorded as KIM SHAFFER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS015234L in PA)

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Initial NPI Registration & Enumeration March 29, 2007

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: 1710006564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 08, 2007
Deactivation Date: May 15, 2024

Mailing Address

148 Merritt Dr

Butler, PA 160012623

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.