Lori Ann Shaw

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

018659 Issued in NY

Practice address

259 Monroe Ave
Rochester, NY 14607-3632

Phone

(585) 690-2560

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1649653296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MALIN LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262233",
            "telephone_number": "585-690-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-690-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LORI ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "018659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Shaw
• Cheryl Shaw
• Courtney A Shaw, N.P.
• Kirk David Shaw, LMHC
• Lauren M Shaw, MS-OTR/L
• Margie Hodges Shaw, JD PHD MA
• McKenzie Shaw
• Naomi Shaw
• Theresa Shaw, NP
• Whitney Blake Shaw, MSED

• Dental Hygienist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.