Organization Active NPI

J. Richard Shih, DDS. Inc.

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1407280217
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
40885 Issued in CA
Legal business name
J. RICHARD SHIH, DDS. INC.
Practice address
8226 Miramar Rd
San Diego, CA 92126-4345
Phone
(858) 689-6088
Fax
(858) 689-6086
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Jeng-Kang Richard Shih, D.D.SNPI 1689747834
Title
Dentist
Phone
(858) 689-6088

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
Case Management Agency 251B00000X 40885 CA Primary

Addresses

Primary practice location

8226 Miramar Rd
San Diego, CA 92126-4345

Mailing address

PO Box 675846
Rancho Santa Fe, CA 92067-5846
Phone (858) 689-6088

Other names 1

  • EZsmile Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150123000806 CA Part B Supplier - Clinic/Group Practice 7416271358 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20250729000373 CA DME Supplier - Other 7416271358 Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
J Richard Shih DDS Inc8226 Miramar Rd, San Diego, CA 92126-4345(858) 689-6089 Facial Prostheses Accepts assignmentParticipating since Nov 29, 2014

National Provider Directory

National Provider Directory

Locations

8226 Miramar Rd
San Diego, CA 92126
Phone (858) 689-6088

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": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1407280217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675846",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675846",
            "telephone_number": "858-689-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 MIRAMAR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264345",
            "telephone_number": "858-689-6088",
            "fax_number": "858-689-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RICHARD SHIH, DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "JENG-KANG",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-689-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "40885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZsmile Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZsmile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.