Kingstone Chichung Shih, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

42498 Issued in CA

Practice address

505 South Dr. Ste. 10
Mountain View, CA 94040

Phone

(950) 964-1300

Fax

(650) 335-4707

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Shih & Olsen GP

  • Endodontics
  • Atherton, CA
  • NPI 1568597540
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1831216456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL, STE. 222",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "94027",
            "telephone_number": "650-361-0180",
            "fax_number": "650-361-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SOUTH DR. STE. 10",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "950-964-1300",
            "fax_number": "650-335-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "KINGSTONE",
        "middle_name": "CHICHUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina P Shetler, MD
• Namrata Shetty, PHARM.D
• Eric Shi, DPM
• Michiko Shibata, M.D.
• Derek Shieh
• Nicole Shihadeh
• Daniel Shin, M.D.
• Joshua Shing, MD
• Melissa Shing, DDS
• Dalia Shiran, PH.D.

• Endodontics in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.