DR. KRISAN SHAW D.D.S.
NPI 1730219239
Dentist - General Practice in Ellsworth, WI

Q: What is Krisan Shaw's NPI number?

The NPI number for Krisan Shaw is 1730219239. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Krisan 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 Krisan Shaw was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 06, 2007

501 W. LUCAS LANE, ELLSWORTH, WI 54011(715) 273-3700(715) 273-1700 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Krisan Shaw D.d.s. NPPES

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

DR. KRISAN SHAW D.D.S. (NPI 1730219239) is an individual general practice provider in Ellsworth, Wisconsin, licensed in Wisconsin (5175-015) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1730219239

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KRISAN SHAWCredential: D.D.S.

Location Address501 W. LUCAS LANEEllsworth, WI 54011

Mailing AddressPo Box 310, 501 W. Lucas LaneEllsworth, WI 54011 · (715) 273-3700 · Fax (715) 273-1700

Phone(715) 273-3700

Fax(715) 273-1700

Sole ProprietorYes

Enumeration DateMarch 6, 2007

Last NPPES UpdateMarch 18, 2014

✔ NPI 1730219239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5175-015

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.

501 W. LUCAS LANE, Ellsworth, WI 54011

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Other Providers at the Same Location NPPES

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

SHAW FAMILY DENTAL SC

Dentist (General Practice)

501 W. LUCAS LANE
ELLSWORTH, WI 54011

Pierce County (715) 273-3700

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 Krisan Shaw's NPI number?

The NPI number for Krisan Shaw is 1730219239. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Krisan Shaw located?

Krisan Shaw practices at 501 W. Lucas Lane, Ellsworth, WI 54011. The listed phone number is (715) 273-3700.

What is Krisan Shaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Krisan Shaw was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.