Hangqing Jin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52616 Issued in CA

Practice address

12798 Rancho Penasquitos Blvd Ste I
San Diego, CA 92129-2951

Phone

(858) 353-2644

Fax

(805) 484-4890

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

Interoperability endpoints

• Direct secure messaging: hjin@direct.westerndental.com

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1164581260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 DEER TRAIL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273432",
            "telephone_number": "805-484-4890",
            "fax_number": "805-484-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12798 RANCHO PENASQUITOS BLVD STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292951",
            "telephone_number": "858-353-2644",
            "fax_number": "805-484-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "HANGQING",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Jimmi
• Jimmy I. Wang, DDS, a Professional Corporation
• Ara Jin, NP
• Christopher Jin, MD
• Chulho Jin
• Hua Jin, M.D
• Yu Jin
• Yuchao Jin, PA-C
• Jinadu Medical Group Inc.
• Anuja Vora Jindal, MD, MPH

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Apr 16, 2015; 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.