Jolene Shih, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009694 Issued in WA

Practice address

4815 NE 4TH St Ste a
Renton, WA 98059-4820

Phone

(425) 223-4318

NPI assigned

Dec 22, 2006

Sex

Female

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

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1245394139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 NE 4TH ST STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594820",
            "telephone_number": "425-223-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 NE 4TH ST STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594820",
            "telephone_number": "425-223-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9835 16th Ave SW # 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062873",
            "country_code": "US",
            "telephone_number": "206-763-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIH",
        "first_name": "JOLENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaityann A Sherve, PHARM.D.
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• Kurt Sherwood, D.C.
• Cindy Yen Shieh, D.O.
• Chelsea Shih, M.D.
• Alexey Shikuev, MD
• Micah M Shimabuku, PT
• Heather Teruko Shimamoto, PHARM.D.
• Teresa Shimizu, PT
• Ally J Shin, ARNP

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.