Jessica Grace Sin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106556 Issued in CA

Practice address

351 Felice Dr
Hollister, CA 95023-3361

Phone

(831) 637-5306

NPI assigned

Jul 21, 2021

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jessica.sin.p1@direct.csvs.nextgenshare.com

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104499706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CRYSTAL LN",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667826",
            "telephone_number": "925-989-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FELICE DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233361",
            "telephone_number": "831-637-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIN",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Shelton, PA-C
• Jorge Sierra
• Amanda Silva
• Janette Ines Simin, RN PHN
• Dina Sims
• Anishma K Singh-Sullivan, M.A
• Arvin Jonathan Olegario Sioc, MSN, FNP-BC
• Sandra Siu, PHARM.D.
• Noelle Rayne Sladon, LMFT
• Terry W. Slaughter W Slaughter, DDS MSD

• General Practice Dentistry in Hollister, CA
• Providers in Hollister, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.