Dr Nicholas Jon Shawd, DDS is a medicare enrolled "Dentist - General Practice" provider in Tea, South Dakota. His current practice location is
725 E Kevin Dr, Suite 101, Tea, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 498-5907.
Dr Nicholas Jon Shawd is licensed to practice in South Dakota (license number SD M993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356358030.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Jon Shawd |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 725 E Kevin Dr, Tea, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356358030
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688986904
- Enrollment ID: I20150630000178
Medical Identifiers
Medical identifiers for Dr Nicholas Jon Shawd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356358030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | SD M993 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Jon Shawd is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Nicholas Jon Shawd, DDS 725 E Kevin Dr, Suite 101, Tea, SD 57064-2070 Ph: (605) 498-5907 | Dr Nicholas Jon Shawd, DDS 725 E Kevin Dr, Suite 101, Tea, SD 57064-2070 Ph: (605) 498-5907 |
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