RAYMOND SCOTT SHADDY DDS
NPI 1811904154
Dentist - General Practice in Omaha, NE

Q: What is Raymond Shaddy's NPI number?

The NPI number for Raymond Shaddy is 1811904154. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Raymond Shaddy'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 Raymond Shaddy 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 August 01, 2006

5674 N 103RD ST, OMAHA, NE 68134(402) 493-5800 Get Directions Write a Review

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

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About Raymond Scott Shaddy Dds NPPES

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

RAYMOND SCOTT SHADDY DDS (NPI 1811904154) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (5579) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1811904154

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRAYMOND SCOTT SHADDYCredential: DDS

Location Address5674 N 103RD STOmaha, NE 68134-1007

Mailing Address5674 N 103rd StOmaha, NE 68134-1007 · (402) 493-5800

Phone(402) 493-5800

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811904154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 5579

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.

5674 N 103RD ST, Omaha, NE 68134

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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 Raymond Shaddy's NPI number?

The NPI number for Raymond Shaddy is 1811904154. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Raymond Shaddy located?

Raymond Shaddy practices at 5674 N 103rd St, Omaha, NE 68134. The listed phone number is (402) 493-5800.

What is Raymond Shaddy'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 Raymond Shaddy 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.