Zhibin Ji, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

48470 Issued in CA

Practice address

4340 Shasta Dam Blvd
Shasta Lake, CA 96019-9420

Phone

(530) 275-2910

Fax

(530) 275-9335

NPI assigned

Dec 11, 2006

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

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

Practice roles

Locations

Interoperability endpoints

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

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.

• Zhi Bin Ji Dental Corporation

  • Dentist
  • Shasta Lake, CA
  • NPI 1326676875
  NPD Authorized official
• Western Dental Services, Inc.

  • Dentist
  • Redding, CA
  • NPI 1942353024
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1245390079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CHURN CREEK RD # F1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034087",
            "telephone_number": "530-224-1524",
            "fax_number": "530-224-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHASTA DAM BLVD",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199420",
            "telephone_number": "530-275-2910",
            "fax_number": "530-275-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "ZHIBIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold S. Budhram, MD, Inc.
• Healing Currents Counseling
• Thinh Tan Hoang, PHARM.D
• Bao Ying Huynh, RPH
• Kelsey H Jewett, O.D.
• Kay Kobe DC
• Jeremy Wade Knedel, P.T.
• Christopher Lewis Kobe, D.C.
• Kay Ellen Kobe, D.C.
• Marion Ann Rose Kvasnicka, LCSW

• Dentist in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.