JERRY HYUN SHIM D.D.S.
NPI 1760712269
Dentist - Orthodontics and Dentofacial Orthopedics in Rialto, CA

Active since January 05, 2010
1205 RENAISSANCE PKWY STE 240, RIALTO, CA 92376(909) 746-5000 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Hyun Shim D.d.s. NPPES

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

JERRY HYUN SHIM D.D.S. (NPI 1760712269) is an individual orthodontics and dentofacial orthopedics provider in Rialto, California, licensed in California (43494) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1760712269
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJERRY HYUN SHIMCredential: D.D.S.
Location Address1205 RENAISSANCE PKWY STE 240Rialto, CA 92376-2418
Mailing Address17736 San Bernardino AveFontana, CA 92335-6133 · (909) 822-4363 · Fax (909) 822-4476
Sole ProprietorNo
Enumeration DateJanuary 5, 2010
Last NPPES UpdateFebruary 10, 2020
NPI 1760712269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 43494
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.
Also ListedDentistTaxonomy 122300000X · License 43494 (CA)
1205 RENAISSANCE PKWY STE 240, Rialto, CA 92376

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Dentist
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dentist (Pediatric Dentistry)
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dentist (Pediatric Dentistry)
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376
Dental Assistant
1205 RENAISSANCE PKWY STE 240
RIALTO, CA 92376

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 Jerry Shim's NPI number?

The NPI number for Jerry Shim is 1760712269. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Jerry Shim located?

Jerry Shim practices at 1205 Renaissance Pkwy Ste 240, Rialto, CA 92376. The listed phone number is (909) 746-5000.

What is Jerry Shim's specialty?

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

What insurance does Jerry Shim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jerry Shim 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 Jerry Shim was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.