NPIMap

Organization Active NPI

Mdjbj Corp

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1376043315
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
26167 Issued in TX
Legal business name
MDJBJ CORP
Practice address
5900 North Fwy Ste 105
Houston, TX 77076-4041
Phone
(808) 989-1879
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joann Shin, DDSNPI 1295044493
Title
Owner
Phone
(808) 989-1879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 26167 TX Primary

Addresses

Primary practice location

5900 North Fwy Ste 105
Houston, TX 77076-4041

Mailing address

PO Box 272571
Houston, TX 77277-2571
Phone (808) 989-1879

Other names 1

  • Mini Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1376043315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272571",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772772571",
            "telephone_number": "808-989-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NORTH FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764041",
            "telephone_number": "808-989-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDJBJ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-989-1879",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "26167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mini Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.