IndividualActive
Jeremiah Shaw, D.D.S.
NPI 1093850851 · Dentist · West Covina, CA
Jeremiah Shaw, D.D.S. is a Dentist provider in West Covina, CA (NPI 1093850851).
Provider details
- NPI number
- 1093850851
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 41867 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4141 S Nogales St Unit B103
West Covina, CA 91792-3057
Phone: (626) 935-5822
Fax: (636) 935-5622
Approximate (ZIP-level) locationGet directions
Mailing address
4141 S Nogales St Unit B103
West Covina, CA 91792-3057
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2019-03-08
Frequently asked questions
- What is Jeremiah Shaw's NPI number?
- Jeremiah Shaw's National Provider Identifier (NPI) is 1093850851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremiah Shaw's specialty?
- Jeremiah Shaw is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jeremiah Shaw located?
- Jeremiah Shaw's practice location on file with NPPES is 4141 S Nogales St Unit B103, West Covina, CA 91792-3057.
- What is Jeremiah Shaw's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah Shaw is (626) 935-5822.
- Is Jeremiah Shaw's NPI active?
- Yes — Jeremiah Shaw's NPI (1093850851) is active in the NPPES registry as of the last update on 2019-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.