Organization Active NPI

Angela Shaw DDS Inc

  • Dental Clinic/Center
  • La Habra, CA
National Provider Identifier
1821561903
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANGELA SHAW DDS INC
Practice address
1400 Las Palmas Dr Ste 1
La Habra, CA 90631-7582
Phone
(714) 525-2381
Fax
(714) 525-2382
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Dr. Angela Shaw, DDS
Title
President/Owner
Phone
(626) 372-7858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1400 Las Palmas Dr Ste 1
La Habra, CA 90631-7582

Mailing address

1400 Las Palmas Dr Ste 1
La Habra, CA 90631-7582
Phone (714) 525-2381

National Provider Directory

National Provider Directory

Locations

1400 Las Palmas Dr
Ste 1
La Habra, CA 90631
Phone (714) 525-2381

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1821561903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAS PALMAS DR STE 1",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317582",
            "telephone_number": "714-525-2381",
            "fax_number": "714-525-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LAS PALMAS DR STE 1",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317582",
            "telephone_number": "714-525-2381",
            "fax_number": "714-525-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA SHAW DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-372-7858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.