Irene Shin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401418295 Issued in VA

Practice address

5206 Dawes Ave
Alexandria, VA 22311-1404

Phone

(703) 931-4544

NPI assigned

Jul 31, 2019

Sex

Female

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.

• Irene Shin DDS PLLC

  • Dentist
  • Alexandria, VA
  • NPI 1659055010
  NPD Authorized official
• Irene Shin DDS of Maryland LLC

  • Dentist
  • Fort Washington, MD
  • NPI 1487522553
  NPD Authorized official
• Dr. Farhan M. Qureshi DDS PC

  • Dentist
  • Alexandria, VA
  • NPI 1467832741
  NPD (past)
• Judd Dentistry PA

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1679629828
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1013561604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "703-931-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "703-931-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Columbus St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143603",
            "country_code": "US",
            "telephone_number": "703-549-7492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12786 Old Fort Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207442871",
            "country_code": "US",
            "telephone_number": "301-292-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailing Shi
• Alexandra Shields, PT, DPT
• John Joseph Shigo Jr., M.D.
• Shiloh Family Medicine PC
• Eyerusalem Shimeles
• Michelle Mihee Shin
• Leon G Shingledecker, DPM
• Dana Taylor Shively, MD
• Teresa Ann Shively, BSN
• Lindsay Shmatov, FNP

• Dentist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.