Jeffrey S Shaw, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53273 Issued in CA

Practice address

3311 Glendale Blvd
Los Angeles, CA 90039-1812

Phone

(323) 665-7665

Fax

(323) 953-6695

NPI assigned

Mar 25, 2008

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard M. Abrams

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1144342791
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1871765321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 AMBERWOOD DR APT 207",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910301916",
            "telephone_number": "323-633-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391812",
            "telephone_number": "323-665-7665",
            "fax_number": "323-953-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darwyn Shaw
• Deborah Ruth Shaw, MSW PHD
• Emma Jule Fine Shaw
• Greta M. Shaw, N.P.
• Jayden Joy Shaw
• Joanna Shaw, MD
• Joseph Shaw III
• Joy Desiree Shaw
• Joyce Seulgie Shaw, P.T., D.P.T.
• Kathryn Shaw, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.