Jennifer Shin DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JENNIFER SHIN DDS INC

Practice address

17024 Clark Ave Ste C
Bellflower, CA 90706-5700

Phone

(213) 810-1318

NPI assigned

Jan 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Shin, DDSNPI 1982058632

Title

President

Phone

(213) 810-1318

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Hae Su Shin, DDS

  • Dentist
  • Bellflower, CA
  • NPI 1982058632
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1033970959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17024 CLARK AVE STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065700",
            "telephone_number": "213-810-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17024 CLARK AVE STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065700",
            "telephone_number": "213-810-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SHIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-810-1318",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhangi Jayaraman, MD
• Amali Samantha Jayasinghe-Cooray, M.D.
• Ireshka Dilushini Jayasundera
• Stacey Jean-Pierre, PA-C
• Shahrokh Moshe Jedian, D.D.S.
• Bermarie Jerez
• Jessica Ilagan Avergonzado,D.D.S., Inc
• Jesusa N Romero MD a Professional Corporation
• Eva M Jimenez
• Jaime Mauricio Jimenez, MD

• Dentist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.