Active NPI
Sharon Xiao Ying Jin, D.M.D.
- Prosthodontics
- Needham, MA
National Provider Identifier
1497042246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN1855694
- Practice address
- 87 Chestnut St
Needham, MA 02492-2578 - Phone
- (781) 444-6650
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN1855694 | MA | Primary |
Addresses
Primary practice location
87 Chestnut St
Needham, MA 02492-2578
Mailing address
70 Longfellow Rd
Newton, MA 02462-1508
Phone (585) 935-1409
Other practice location 1
41 North Rd
Bedford, MA 01730-1037
Phone (339) 234-5075
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855694 | MA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Apnea Dentists of New England PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Weston, MA
- NPI 1558804823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1497042246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 LONGFELLOW RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621508",
"telephone_number": "585-935-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 CHESTNUT ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922578",
"telephone_number": "781-444-6650"
}
],
"practiceLocations": [
{
"address_1": "41 North Rd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "MA",
"postal_code": "017301037",
"country_code": "US",
"telephone_number": "339-234-5075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIN",
"first_name": "SHARON",
"middle_name": "XIAO YING",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "DN1855694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
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.