OrganizationActive
Shaw DDS Dental Corporation
NPI 1154765899 · Preferred Provider Organization · Los Angeles, CA
Provider details
- NPI number
- 1154765899
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rochelle Skinner, President(323) 933-5641
- License
- 54813 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5220 W Washington Blvd
103
Los Angeles, CA 90016
Phone: (323) 933-5641
Fax: (323) 939-6620
Street-level locationGet directions
Mailing address
5220 W Washington Blvd
Los Angeles, CA 90016-1331
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2013-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.