Shi & Pan, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SHI & PAN, PLLC

Practice address

12305 120TH Ave NE Ste G
Kirkland, WA 98034-6921

Phone

(425) 588-3899

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Jiayu Shi, DDS, PHDNPI 1336735117

Title

Orthodontist

Phone

(310) 845-5276

Specialties & licenses 1

Addresses

Other names 1

• Emerald City Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jiayu Shi, DDS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kirkland, WA
  • NPI 1336735117
  NPD Authorized official
• Hsin-Chuan Pan, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kirkland, WA
  • NPI 1003425208
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1548043284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 5TH LN",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335667",
            "telephone_number": "310-845-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 120TH AVE NE STE G",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346921",
            "telephone_number": "425-588-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI & PAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "JIAYU",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "310-845-5276",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald City Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Sheng, MA, CCC-SLP
• Leah Shepard
• Dana Shephard
• Kristen Brewer Sherman
• Tonia Sherman, LMP
• Jiayu Shi, DDS, PHD
• Katherine Sarah Shieff
• Ashley Shields
• Elizabeth Shields, M.A.
• Pam R Shigaya, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.