Jeremiah Jer Hjen Shaw, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

41867 Issued in CA

Practice address

4141 S Nogales St Unit B103
West Covina, CA 91792-3057

Phone

(626) 935-5822

Fax

(636) 935-5622

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JJ Wang Dental Corp.

  dba Rowland Heights Dental Center

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1427190271
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1093850851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST UNIT B103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "626-935-5822",
            "fax_number": "636-935-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S NOGALES ST UNIT B103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "626-935-5822",
            "fax_number": "636-935-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JEREMIAH",
        "middle_name": "JER HJEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan James Shakiba
• Najib Shalabi, MD
• Shannon O. Alturas, O.D., a Professional Corporation (Eyedeal Vision Optometry)
• Dhruv Kumar Sharma, M.D.
• Madhu Sharma, MD
• Sheldon M. Golden OD, Optometric Corporation (Golden Optometric Group)
• Shawna Danielle Shelton, MS
• Sheraton Villa (Country View Retirement Home)
• Judith Ellen Sherman, M.D.
• Neil J Sherman, MD

• Dentist in West Covina, CA
• Providers in West Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.