Individual provider Active NPI

Shiow Jiin Jaw, DMD

  • Pediatric Dentistry
  • Rosemead, CA
National Provider Identifier
1467682823
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38304 Issued in CA
Practice address
9428 Valley Blvd Ste 101
Rosemead, CA 91770-1514
Phone
(626) 788-9008
NPI assigned
Jul 20, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38304 CA Primary

Addresses

Primary practice location

9428 Valley Blvd Ste 101
Rosemead, CA 91770-1514

Mailing address

2848 Cumberland Rd
San Marino, CA 91108-2204
Phone (617) 817-2037

Other practice location 1

3220 Sepulveda Blvd Ste 206
Torrance, CA 90505-8161
Phone (310) 325-5877

Other practice location 2

1524 N Orange Grove Ave
Pomona, CA 91767-3812
Phone (909) 623-0583

Other names 1

  • Mrs. Hsiu Chin Chao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38304CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Wu, DDS, Inc. Past Accepting new patients
Estelle H. Liou DDS Inc Pediatric Dentistry Past Accepting new patients
Shiow Jiin Jaw, DDS, Inc. Pediatric Dentistry Past Accepting new patients
Estelle H. Liou DDS Inc Pediatric Dentistry Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467682823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 CUMBERLAND RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082204",
            "telephone_number": "617-817-2037",
            "fax_number": "626-535-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 VALLEY BLVD STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701514",
            "telephone_number": "626-788-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Sepulveda Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905058161",
            "country_code": "US",
            "telephone_number": "310-325-5877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 N Orange Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673812",
            "country_code": "US",
            "telephone_number": "909-623-0583",
            "fax_number": "909-397-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAW",
        "first_name": "SHIOW JIIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HSIU CHIN",
            "last_name": "CHAO",
            "prefix": "MRS.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.