Victoria a. Shook, D.D.S., a Professional Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

41788 Issued in CA

Legal business name

VICTORIA A. SHOOK, D.D.S., A PROFESSIONAL CORP.

Practice address

29409 S Western Ave
Suite 4
Rancho Palos Verdes, CA 90275-1124

Phone

(310) 548-2830

Fax

(310) 548-2833

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Peter C. Katzaroff

Title

Vice President

Phone

(310) 548-2830

Specialties & licenses 1

Addresses

Tax ID family

Shook Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Victoria a. Shook, D.D.S., a Professional Corp.

  dba Shook Dental Care

  • General Practice Dentistry
  • San Pedro, CA
  • NPI 1487207700
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria A. Shook, D.D.S.

  • General Practice Dentistry
  • Rancho Palos Verdes, CA
  • NPI 1144336405
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558567461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29409 S WESTERN AVE",
            "address_2": "SUITE 4",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751124",
            "telephone_number": "310-548-2830",
            "fax_number": "310-548-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29409 S WESTERN AVE",
            "address_2": "SUITE 4",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751124",
            "telephone_number": "310-548-2830",
            "fax_number": "310-548-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA A. SHOOK, D.D.S., A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATZAROFF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-548-2830"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Joshua Ursich, DC
• Margarita Ruby Vargas, PT, DPT
• Ana Aracely Vasquez, FNP
• Vazin Chiropractic
• Julia Nicole Vicencio, NP
• Audra Vitkus
• Teresa Gmur Warner, B.C.B.A.
• William Moncur Webster, M.D.
• Lolita Wee, CRNA
• Westmont Optometry

• Dentist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.