NPIMap

Organization Active NPI

Mun Shin DMD PLLC

  • Dental Clinic/Center
  • Everett, WA
National Provider Identifier
1154096683
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MUN SHIN DMD PLLC
Practice address
927 128TH St SW Ste a
Everett, WA 98204-6315
Phone
(429) 290-6967
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mun Shin, DMDNPI 1114248127
Title
DMD
Phone
(857) 205-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

927 128TH St SW Ste a
Everett, WA 98204-6315

Mailing address

927 128TH St SW Ste a
Everett, WA 98204-6315
Phone (425) 290-6967

Other names 1

  • South Everett Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL s.everettdental@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

927 128th St SW
#A
Everett, WA 98204
Phone (425) 290-6967

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1154096683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "425-290-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "429-290-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUN SHIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MUN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "857-205-4215",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "s.everettdental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "927 128th St SW Ste A",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982046315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Everett Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.