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SHAW DDS DENTAL CORPORATION
NPI 1154765899
Preferred Provider Organization in Los Angeles, CA

Active since April 24, 2013
5220 W WASHINGTON BLVD, 103, LOS ANGELES, CA 90016(323) 933-5641(323) 939-6620 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaw Dds Dental Corporation NPPES

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

SHAW DDS DENTAL CORPORATION (NPI 1154765899) is a healthcare organization registered as a preferred provider organization in Los Angeles, California and active in the NPI registry since April 2013. The organization lists Rochelle R Skinner, President, as its authorized official.

NPPES Registry Identity

NPI1154765899
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSHAW DDS DENTAL CORPORATION
Location Address5220 W WASHINGTON BLVD, 103Los Angeles, CA 90016
Mailing Address5220 W Washington Blvd, 103Los Angeles, CA 90016-1331 · (323) 933-5641 · Fax (323) 939-6620
Phone(323) 933-5641
Fax(323) 939-6620
Organization SubpartNo
Authorized OfficialRochelle R SkinnerPresident · (323) 933-5641
Enumeration DateApril 24, 2013
Last NPPES UpdateOctober 25, 2013
✔ NPI 1154765899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · 54813
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5220 W WASHINGTON BLVD, Los Angeles, CA 90016
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Other Providers at the Same Location NPPES 20

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

MISS AMANDA COWAN
Case Manager/Care Coordinator
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (310) 314-6200
CARMEN STANFORD
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 983-9186
SARAH WEBSTER
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD, SUITE 101
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186
LONNIE BERNARD HOGAN
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 287-2023
DOMINGO REVERON
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD, SUITE 101
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186
DR. ROBERT ADAMS DDS
Dentist (General Practice)
5220 W WASHINGTON BLVD, SUITE 103
LOS ANGELES, CA 90016
Los Angeles County (323) 933-5641
CLARE MATRIX
Clinic/Center (Rehabilitation, Substance Use Disorder)
5220 W WASHINGTON BLVD, SUITE 101, 104
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186
TOMAS REYES
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD, SUITE 101
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186

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 Shaw Dds Dental Corporation's NPI number?

The NPI number for Shaw Dds Dental Corporation is 1154765899. It was assigned to this organization in the NPPES registry on April 24, 2013.

Where is Shaw Dds Dental Corporation located?

Shaw Dds Dental Corporation is located at 5220 W Washington Blvd 103, Los Angeles, CA 90016. The listed phone number is (323) 933-5641.

What is Shaw Dds Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Shaw Dds Dental Corporation was last updated on October 25, 2013. 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.