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DR. SI SHI DDS
NPI 1013457696
Dentist - Endodontics in Jacksonville, FL

Active since March 02, 2017
751 OAK ST STE 601, JACKSONVILLE, FL 32204(904) 354-4031 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Mar 2, 2017 (2 updates tracked since 2017).

About Dr. Si Shi Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SI SHI DDS (NPI 1013457696) is an individual endodontics provider in Jacksonville, Florida, licensed in Florida (DN25511) and active in the NPI registry since March 2017. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1013457696
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. SI SHICredential: DDS
Location Address751 OAK ST STE 601Jacksonville, FL 32204-3373
Mailing Address4929 Skyway Dr Apt 3312Jacksonville, FL 32246-0040 · (917) 502-8308
Phone(904) 354-4031
Sole ProprietorYes
Enumeration DateMarch 2, 2017
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1013457696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in FL · DN25511
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
751 OAK ST STE 601, Jacksonville, FL 32204
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Secondary Practice Location 1

Location 1345 E 24th StNew York, NY 10010-4020 · Phone (212) 998-9800

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE MARQUEZ
Dentist
751 OAK ST STE 601
JACKSONVILLE, FL 32204
Duval County (904) 420-2504
OLEXANDRA OVSIY
Dentist
751 OAK ST STE 601
JACKSONVILLE, FL 32204
Duval County (904) 354-4031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Si Shi's NPI number?

The NPI number for Si Shi is 1013457696. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Si Shi located?

Si Shi practices at 751 Oak St Ste 601, Jacksonville, FL 32204. The listed phone number is (904) 354-4031.

What is Si Shi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Si Shi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Si Shi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Si Shi was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.