SHENAN BRADSHAW DDS MD PA
NPI 1114710472
Oral & Maxillofacial Surgery in Greensboro, NC
NPI Status: Active since May 28, 2025
Contact Information
2105 BRAXTON LN STE 102
GREENSBORO, NC
ZIP 27408
Phone: (336) 273-1000
- Organization
- Oral & Maxillofacial Surgery
About SHENAN BRADSHAW DDS MD PA
This page provides the complete NPI Profile along with additional information for Shenan Bradshaw Dds Md Pa, a provider established in Greensboro, North Carolina operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1114710472 assigned on May 2025. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Allison Jarrell (Practice Leader)
- NPI
- 1114710472
- Provider Name
- SHENAN BRADSHAW DDS MD PA
- Entity Type
- Organization
- Location Address
- 2105 BRAXTON LN STE 102 GREENSBORO, NC 27408
- Location Phone
- (336) 273-1000
- Mailing Address
- 2105 BRAXTON LN STE 102 GREENSBORO, NC 27408
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-28-2025
- Last Update Date
- 05-28-2025
- Code Navigator
Location Map
Secondary Locations
- 3493 Forestdale Dr Ste 102
Burlington, NC 27215
(336) 417-5933
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114710472, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114710472, enumerated as an "organization" on May 28, 2025.
The provider is located at 2105 BRAXTON LN STE 102 GREENSBORO, NC 27408 and the phone number is (336) 273-1000.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
