Myung Shik Shin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108183 Issued in CA

Practice address

222 N G St Ste 3
San Bernardino, CA 92410-3217

Phone

(909) 383-7777

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shin & Kang, DDS, Inc.

  • Dental Clinic/Center
  • Barstow, CA
  • NPI 1184430985
  NPD Authorized official
• Myung Shik Shin DDS Inc

  • Dental Clinic/Center
  • Barstow, CA
  • NPI 1487580684
  NPD (past) Authorized official
• Brian C Kim DDS Inc

  dba central dental

  • Dental Clinic/Center
  • San Bernardino, CA
  • NPI 1114559424
  NPD
• Cental Dental

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1861750291
  NPD (past)

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1073349825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26149 PARK AVE UNIT 1",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N G ST STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103217",
            "telephone_number": "909-383-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MYUNG SHIK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenee E Shelton
• Sandra Azer Shenouda, DMD
• Wilma Leardean Shepard, LCSW
• Nathan Shepherd
• Kenneth Lemelle Sherrill Jr.
• Sook-Ja Shin, M.D.
• Trinity M Shofner
• Jasmine La'Rae Shorter
• Dajuan Shorts Jr.
• Shuang Bai, M.D. Inc.

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.