Individual provider Active NPI

Jessica Huiying Shen, DMD

  • Dentist
  • High Point, NC
National Provider Identifier
1497497069
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13060 Issued in NC
Practice address
1589 Skeet Club Rd Ste 150
High Point, NC 27265-8820
Phone
(336) 450-2078
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13060 NC Primary

Addresses

Primary practice location

1589 Skeet Club Rd Ste 150
High Point, NC 27265-8820

Mailing address

1589 Skeet Club Rd Ste 150
High Point, NC 27265-8820
Phone (336) 450-2078

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
13060NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alles & Associates North Carolina Dentist CurrentSince Jan 14, 2024 Accepting new patients
Jessica Shen, DMD, PLLC Current Accepting new patients
Alterman & Dhillon Piedmont, PPLC Dentist PastSince Jan 14, 2024 Accepting new patients

Locations

1589 Skeet Club Rd
Ste 150
High Point, NC 27265
Phone (336) 450-2078

Organizations & group practices 3

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1497497069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SKEET CLUB RD STE 150",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658820",
            "telephone_number": "336-450-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SKEET CLUB RD STE 150",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658820",
            "telephone_number": "336-450-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JESSICA",
        "middle_name": "HUIYING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.