Organization Active NPI

George B. Shinn DDS P.C

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1346608676
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
24341 Issued in CA
Legal business name
GEORGE B. SHINN DDS P.C
Practice address
8540 S Sepulveda Blvd
#1200
Los Angeles, CA 90045-3807
Phone
(310) 649-3636
Fax
(310) 649-3638
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George B Shinn Jr., DDS
Title
Dr
Phone
(310) 649-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 24341 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd
#1200
Los Angeles, CA 90045-3807

Mailing address

8540 S Sepulveda Blvd
Los Angeles, CA 90045-3807
Phone (310) 649-3636

National Provider Directory

National Provider Directory

Locations

8540 S Sepulveda Blvd
Ste 1200
Los Angeles, CA 90045
Phone (310) 649-3636

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1346608676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-649-3636",
            "fax_number": "310-649-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "#1200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-649-3636",
            "fax_number": "310-649-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE B. SHINN DDS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "310-649-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "24341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.