Sebastian Seunghoon Shin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010837 Issued in PA

Practice address

1349 W Cheltenham Ave Ste 201
Elkins Park, PA 19027-3141

Phone

(267) 607-1875

Fax

(267) 214-1155

NPI assigned

Mar 2, 2015

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

State licenses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1144612029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE STE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-607-1875",
            "fax_number": "267-214-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE STE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-607-1875",
            "fax_number": "267-214-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SEBASTIAN",
        "middle_name": "SEUNGHOON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrina Rosita Shaw, OTRL
• Shelley Z Goodman
• Shelley Z Goodman PHD
• Hongxie Shen, MD
• Yoon Kyung Shim, L.AC
• Matthew Shore, D.O.
• Erica H Siegel, MA CCC-SLP
• Cynthia Grossel Silber, M.D.
• Silverbird Home Care Services LLC
• Daniel Silverstein, MD

• Chiropractor in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.