DR. KENNETH JOHN SHAW (NPI# 1801988167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801988167 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOHN SHAW |
| Credential | DDS |
| Practice Address |
8125 La Plz Cotati CA 94931-4244 |
| Practice Telephone | 7077956424 |
| Practice Fax Number | 7077954294 |
| Mailing Telephone | 7077956424 |
| Mailing Fax Number | 7077954294 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27067 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326106931 | Kenneth Steven Shaw | Optometrist | 997 Windmill Pkwy, Evans, GA 30809-6666 | 2006-12-05 |
| 1316387392 | Kenneth Aaron Shaw | Orthopaedic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2013-07-05 |
| 1285947424 | Kenneth Ryan Shaw | Chiropractor | 711 E Main St, Suite 102, Hendersonville, TN 37075-2740 | 2010-07-16 |
| 1588700611 | Kenneth R Shaw | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4082 | 2007-01-29 |
| 1912088287 | Kenneth Shaw | Counselor | 175 Remsen St, 10th Floor, Brooklyn, NY 11201-4300 | 2006-10-17 |
| 1780788364 | Kenneth Allen Shaw Jr. | Anesthesiology | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2006-09-12 |
| 1124060249 | Kenneth Neil Shaw | Emergency Medicine | 709 Middle Creek Rd, Sevierville, TN 37862-5047 | 2006-06-12 |
| Street Address |
8125 LA PLZ |
| City | COTATI |
| State | CA |
| Zip Code | 94931-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143998 | Varlakova Dental Corporation | Dentist | 8125 La Plz, Cotati, CA 94931-4244 | 2018-02-09 |
| 1740578038 | Ralitza Varlakova | Dentist | 8125 La Plz, Cotati, CA 94931-4244 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629290432 | Jazmin Julia Zelaya-peo | Dentist | 421 East Cotati Avenue, Cotati, CA 94931 | 2007-05-02 |
| 1700928553 | Anita Indira Palmatier | Marriage & Family Therapist | 8999 Cypress Ave, Cotati, CA 94931 | 2007-02-12 |
| 1932209913 | Vicki Dawn Van Winkle-sami | Counselor | 8297 Old Redwood Hwy, Cotati, CA 94931 | 2006-09-22 |
| 1659531838 | Cotati Rohnert Park Physical Therapy | Physical Therapist | 7840 Old Redwood Hwy, Cotati, CA 94931 | 2008-06-11 |
| 1720290414 | Scott Alexander Rudell Sr. | Chiropractor | 315 E Cotati Ave, Suite E, Cotati, CA 94931 | 2007-05-04 |
| 1245363704 | Sandi Cullinen | Occupational Therapist | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-03-13 |
| 1285848135 | Cullinen Hand Therapy | Durable Medical Equipment & Medical Supplies | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-05-10 |
| 1043343502 | Cullinen Hand Therapy | Occupational Therapist | 7950 Redwood Dr, Suite 13, Cotati, CA 94931-3051 | 2007-03-13 |
| 1750366068 | Protransport 1 | Ambulance | 720 Portal St, Cotati, CA 94931-3060 | 2005-12-08 |
| 1558501890 | Norcal Ambulance, LLC | Ambulance | 720 Portal St, Cotati, CA 94931-3060 | 2009-02-26 |
| Find all providers in zip 94931 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457677734 | Julia Jazmin Peo, D.d.s., Inc. | Dentist | 421 E Cotati Ave, Cotati, CA 94931-4000 | 2010-04-12 |
| 1629290432 | Jazmin Julia Zelaya-peo | Dentist | 421 East Cotati Avenue, Cotati, CA 94931 | 2007-05-02 |
| 1386143998 | Varlakova Dental Corporation | Dentist | 8125 La Plz, Cotati, CA 94931-4244 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.