Active NPI
Jing Zhao, DDS
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1124333612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 055724
- Practice address
- 2270 Kimball St
Suite 202
Brooklyn, NY 11234-5139 - Phone
- (718) 253-0888
- Fax
- (718) 228-2887
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 055724 | NY | Primary |
Addresses
Primary practice location
2270 Kimball St
Suite 202
Brooklyn, NY 11234-5139
Mailing address
2270 Kimball St
Suite 202
Brooklyn, NY 11234-5139
Phone (718) 253-0888
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1124333612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-0888",
"fax_number": "718-228-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 KIMBALL ST",
"address_2": "SUITE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345139",
"telephone_number": "718-253-0888",
"fax_number": "718-228-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "JING",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "055724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.