DR. RANDOLPH S SHAW DDS
NPI 1710006218
Dentist - General Practice in Englewood, OH

Q: What is Randolph Shaw's NPI number?

The NPI number for Randolph Shaw is 1710006218. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Randolph Shaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 28, 2007PECOS Enrolled

1080 UNION BLVD, ENGLEWOOD, OH 45322(937) 836-7592(937) 836-6269 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Randolph S Shaw Dds NPPES

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

DR. RANDOLPH S SHAW DDS (NPI 1710006218) is an individual general practice provider in Englewood, Ohio, licensed in Ohio (17879) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710006218

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDOLPH S SHAWCredential: DDS

Location Address1080 UNION BLVDEnglewood, OH 45322-2223

Mailing Address1080 Union BlvdEnglewood, OH 45322-2223 · (937) 836-7592 · Fax (937) 836-6269

Phone(937) 836-7592

Fax(937) 836-6269

Sole ProprietorYes

Enumeration DateMarch 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710006218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 17879

Definition

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.

1080 UNION BLVD, Englewood, OH 45322

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randolph S Shaw Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Randolph Shaw's NPI number?

The NPI number for Randolph Shaw is 1710006218. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Randolph Shaw located?

Randolph Shaw practices at 1080 Union Blvd, Englewood, OH 45322. The listed phone number is (937) 836-7592.

What is Randolph Shaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randolph Shaw enrolled in Medicare?

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

What insurance does Randolph Shaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 10 other insurers list Randolph Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.