Shiow Jiin Jaw, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

38304 Issued in CA

Legal business name

SHIOW JIIN JAW, DDS, INC.

Practice address

6270 Rosemead Blvd
Temple City, CA 91780

Phone

(626) 622-8646

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shiow Jiin Jaw, DDSNPI 1467682823

Title

President

Phone

(617) 817-2037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shiow Jiin Jaw, DMD

  • Pediatric Dentistry
  • Rosemead, CA
  • NPI 1467682823
  NPD (past) Authorized official

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1679069694",
    "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": "626-766-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-622-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIOW JIIN JAW, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "JAW",
        "authorized_official_first_name": "SHIOW JIIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-817-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Temple City, CA
• Providers in Temple City, CA by specialty
• Pediatric Dentistry in California

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