NPIMap

Organization Active NPI

JJ Wang Dental Corp.

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1427190271
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JJ WANG DENTAL CORP.
Practice address
4141 S. Nogales St.
Suite B103
West Covina, CA 91792-3057
Phone
(626) 935-5822
Fax
(626) 935-5622
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Dr. Jeremiah Jer Hjen Shaw, D.D.S.NPI 1093850851
Title
Dentist
Phone
(626) 935-5822

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43296 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41867 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4141 S. Nogales St.
Suite B103
West Covina, CA 91792-3057

Mailing address

4141 S. Nogales St.
Suite B103
West Covina, CA 91792-3057
Phone (626) 935-5822

Other names 1

  • Rowland Heights Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1427190271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S. NOGALES ST.",
            "address_2": "SUITE B103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "626-935-5822",
            "fax_number": "626-935-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S. NOGALES ST.",
            "address_2": "SUITE B103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923057",
            "telephone_number": "626-935-5822",
            "fax_number": "626-935-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ WANG DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "JER HJEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-935-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43296",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41867",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rowland Heights Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rowland Heights Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.