Brian Kenji Jow, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104836 Issued in CA

Practice address

2800 Pacific Ave Ste B
Long Beach, CA 90806-1468

Phone

(562) 989-3030

NPI assigned

Jun 17, 2018

Last updated

Aug 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Anh Ho DMD Dental Corporation

  dba Long Beach Care Dental

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1083308993
  NPD
• Long Beach Care Dental Inc.

  • Dentist
  • Long Beach, CA
  • NPI 1265981369
  NPD (past)

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1730673492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984310",
            "telephone_number": "925-451-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PACIFIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061468",
            "telephone_number": "562-989-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Baseline Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917015827",
            "country_code": "US",
            "telephone_number": "909-948-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOW",
        "first_name": "BRIAN",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kate Josey
• Shivali Joshi, DO
• Joshua Shipp, LLC
• Juan Carlo Bautista Joson
• Veronique Hedwige Jotterand, M.D.
• Ikonija Sekulovich Joy, M.D.
• Kristina Ju
• Vanessa Rangel Juan
• Jocellyn Ramirez Juanillo, ACSW113455
• Adamaris Juarez

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.