Active NPI
Victor Bing-Sheng Shih, DDS
- General Practice Dentistry
- Kirkland, WA
National Provider Identifier
1073113015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61100099
- Practice address
- 7315 NE 141St St
Kirkland, WA 98034-9739 - Phone
- (858) 242-9640
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61100099 | WA | Primary |
Addresses
Primary practice location
7315 NE 141St St
Kirkland, WA 98034-9739
Mailing address
13241 120TH Ave NE
Kirkland, WA 98034-2175
Phone (858) 242-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61100099 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1073113015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13241 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342175",
"telephone_number": "858-242-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 NE 141ST ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980349739",
"telephone_number": "858-242-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIH",
"first_name": "VICTOR",
"middle_name": "BING-SHENG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61100099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.