Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407875131 Individual Practitioner Male Practitioner

Dr. Peter D Shaw , DDS

Dentist - General Practice • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Shaw, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Diego, CA. Practice services are available at 315 WALNUT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 Walnut Ave

San Diego, CA 921034904

Telephone 6192972954
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
685 Specialists

Practicing in San Diego, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 28088

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Brian Devers , DDS

Dentist - General Practice

NPI 1104126879

Doctor of Dental Surgery

Dr. James Hopper , DDS

Dentist - General Practice

NPI 1487877098

Doctor of Dental Surgery

NPI 1528271996

Doctor of Dental Surgery

Dr. Mark Jankowski , DDS

Dentist - General Practice

NPI 1669492393

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 315 WALNUT AVE, SAN DIEGO, CA 921034904 (Tel: 6192972954)

📍
Updated Business Mailing Address July 08, 2007

Registered at 315 WALNUT AVE, SAN DIEGO, CA 921034904

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER SHAW, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #28088 in CA)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407875131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

315 Walnut Ave

San Diego, CA 921034904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.