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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerry L. Shaw, D.D.S.

Orthodontics and Dentofacial Orthopedics Dentistry in Farr West, UT · enumerated 2011 · authorized official Jerry Shaw, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205111432

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Registry record

Entity type Organization (Type 2)
Legal business name Jerry L. Shaw, D.D.S.
Practice address 1761 N. 2000 W., Farr West, UT, 84404
Fax (801) 731-4852
Enumeration date Oct 19, 2011
Last updated in NPPES Oct 19, 2011

Taxonomy & classification

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 132357 (UT) Primary

Authorized official

Name Jerry Shaw
Title Owner

Other identifiers

Identifier Type State Issuer
529447754018 Medicaid UT -

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.

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Frequently asked questions

What is the NPI number for Jerry L. Shaw, D.D.S.?
The NPI for Jerry L. Shaw, D.D.S. is 1205111432, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jerry L. Shaw, D.D.S.?
NPPES lists Jerry Shaw (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-19.