JIAYU SHI DDS, PHD
NPI 1336735117
Dentist - Orthodontics and Dentofacial Orthopedics in Kirkland, WA

Active since December 16, 2020PECOS Enrolled
12305 120TH AVE NE STE G, KIRKLAND, WA 98034(425) 588-3899(425) 588-3898 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Dec 16, 2020 (2 updates tracked since 2020).

About Jiayu Shi Dds, Phd NPPES

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

JIAYU SHI DDS, PHD (NPI 1336735117) is an individual orthodontics and dentofacial orthopedics provider in Kirkland, Washington, licensed in Washington (DE61133313) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336735117
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameJIAYU SHICredential: DDS, PHD
Location Address12305 120TH AVE NE STE GKirkland, WA 98034-6921
Mailing Address12305 120th Ave Ne Ste GKirkland, WA 98034-6921 · (425) 588-3899
Fax(425) 588-3898
Sole ProprietorNo
Enumeration DateDecember 16, 2020
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
NPI 1336735117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE61133313
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
12305 120TH AVE NE STE G, Kirkland, WA 98034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jiayu Shi Dds, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
12305 120TH AVE NE STE G
KIRKLAND, WA 98034
Dentist (Orthodontics and Dentofacial Orthopedics)
12305 120TH AVE NE STE G
KIRKLAND, WA 98034

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 Jiayu Shi's NPI number?

The NPI number for Jiayu Shi is 1336735117. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Jiayu Shi located?

Jiayu Shi practices at 12305 120th Ave NE Ste G, Kirkland, WA 98034. The listed phone number is (425) 588-3899.

What is Jiayu Shi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jiayu Shi enrolled in Medicare?

Yes. Jiayu Shi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jiayu Shi was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.