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DALTON GARRETT SHAW MD
NPI 1285486597
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 02, 2024PECOS Enrolled
1920 W 1ST ST FL 3, WINSTON SALEM, NC 27104(336) 716-4479 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalton Garrett Shaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALTON GARRETT SHAW MD (NPI 1285486597) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285486597
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDALTON GARRETT SHAWCredential: MD
Location Address1920 W 1ST ST FL 3Winston Salem, NC 27104-4220
Mailing Address7600 State Highway 16Sparta, WI 54656-4209 · (715) 896-1395
Phone(336) 716-4479
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1285486597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1920 W 1ST ST FL 3, Winston Salem, NC 27104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Garrett Shaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN PHILLIP MACDONALD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
WILLIAM WALKER ABERGER MD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
RILEY JAMES COON
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
SUKHDEV SINGH BRAR DO
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
CAROLINE MEGAN THOMAS
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
CHRISTOPHER MICHAEL NELSON M.D.
Family Medicine (Sports Medicine)
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
JENNIFER KELLER FNP
Nurse Practitioner (Family)
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
VASHTI KHAVITA SHIWMANGAL
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalton Shaw's NPI number?

The NPI number for Dalton Shaw is 1285486597. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Dalton Shaw located?

Dalton Shaw practices at 1920 W 1st St Fl 3, Winston Salem, NC 27104. The listed phone number is (336) 716-4479.

What is Dalton Shaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dalton Shaw enrolled in Medicare?

Yes. Dalton Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dalton Shaw was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.