Mr. Grady D Shaver, DMD
Mr. Grady D Shaver is a Dentist provider (Dentist) practicing in Pendleton, OR, registered in the NPPES registry with NPI 1093049306 since 2009. The credential DMD stands for Doctor of Medicine in Dentistry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093049306 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Grady D Shaver |
| Credential | DMD |
| Sex | Male |
| Practice address | 73265 CONFEDERATED WAY, Pendleton, OR, 97801 |
| Phone | 5419669830 |
| Fax | 5412787590 |
| Enumeration date | 2009-09-21 |
| Last updated in NPPES | 2016-03-09 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | DE60114016 | WA |
| 122300000X | Dentist | Primary | D9825 | OR |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500653068 | Medicaid | OR | — |
Copy-ready billing details
Provider: Grady Shaver, DMD NPI: 1093049306 Taxonomy: 122300000X (Dentist) Address: 73265 CONFEDERATED WAY, Pendleton, OR, 97801
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144271412 | Lillian Maresca | Individual | Family Medicine Physician | Pendleton, OR |
| 1114954518 | Grant Van Houten | Individual | Family Medicine Physician | Pendleton, OR |
| 1013928563 | Allan Jio | Individual | Pharmacist | Pendleton, OR |
| 1144231176 | Josie Vandorn | Individual | Pharmacist | Pendleton, OR |
| 1770696411 | Bobby Benton | Individual | Counselor | Pendleton, OR |
| 1841303583 | Carolyn Featherston | Individual | Counselor | Pendleton, OR |
| 1003929605 | Shelia Coe | Individual | Dentist | Pendleton, OR |
| 1407969868 | Peggy Bronson | Individual | Addiction (Substance Use Disorder) Counselor | Pendleton, OR |
Verify this record
Cross-check NPI 1093049306 against the authoritative CMS record: view Mr. Grady D Shaver on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Grady Shaver?
Where does Grady Shaver practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-03-09.