John Shen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS52689 Issued in CA

Practice address

18369 Pioneer Blvd
Artesia, CA 90701

Phone

(310) 720-4994

NPI assigned

Jul 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1205035169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18369 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18369 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "90701",
            "telephone_number": "310-720-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS52689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "DDS52689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SDKJ Forever, LLC.
• Selene Home Health Group Inc
• Mehdi Shah
• Priti Shah
• Camila Shelton
• Rucha Shirsalkar
• Cassandra Joyce Jaojoco Sia, DPT
• Sherry B Simsuangco, PT, DPT
• Shalu Singh
• Sioe Hwa Ong DDS Inc

• Dentist in Artesia, CA
• Providers in Artesia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.