Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730219239 Individual Practitioner Female Practitioner

Dr. Krisan Shaw , DDS

Dentist - General Practice • Ellsworth, WI

Professional Overview & Biography Verified Profile Summary

Dr. Krisan Shaw, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ellsworth, WI. Practice services are available at 501 W. LUCAS LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 W. Lucas Lane

Ellsworth, WI 54011

Telephone 7152733700
Fax 7152731700
Associated Practice Facility / Clinic
🏢 Shaw Family Dental Sc Facility NPI 1396162020

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ellsworth, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Ellsworth, WI (2459 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 WI 5175-015

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

1 Associated Practitioners
NPI 1104356542

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2014

Registered at 501 W. LUCAS LANE, ELLSWORTH, WI 54011 (Tel: 7152733700)

📍
Updated Business Mailing Address March 18, 2014

Registered at PO BOX 310, 501 W. LUCAS LANE, ELLSWORTH, WI 54011 (Tel: 7152733700)

👤
Provider Name / Credentials Updated March 18, 2014

Recorded as KRISAN SHAW, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2014

Dentist (License #5175-015 in WI)

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Initial NPI Registration & Enumeration March 06, 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: 1730219239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: March 18, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 310, 501 W. Lucas Lane

Ellsworth, WI 54011

Phone: 7152733700

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.