Jeffrey Shawn Zhao, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110618 Issued in CA

Practice address

303 S Glenoaks Blvd Ste 12
Burbank, CA 91502-1184

Phone

(818) 846-2854

NPI assigned

Mar 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Christie H. Park, DDS, Inc.

  • Dental Clinic/Center
  • Burbank, CA
  • NPI 1205596244
  NPD

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1669272415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 PAMPAS CIR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902070",
            "telephone_number": "312-810-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD STE 12",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021184",
            "telephone_number": "818-846-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "JEFFREY",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110618",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Zeng, LAC
• Heather T Zeng
• Zenith Clinical Laboratories Inc.
• Melanie Rose Zermeno, M.D.
• Wenyong Zhang, LICENSED MASSAGE THE
• Violetta Zheleznova
• Amy Chuwei Zhou, MD
• Shahrzad Ziaeian
• Laura T Zibecchi, NP
• Dannah Ilise Ziegert, PH.D.

• Dentist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.